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https://www.readbyqxmd.com/read/29890106/pseudoluxaci%C3%A3-n-c2-c3-en-la-infancia
#1
Marina Angulo Tabernero, Enrique Suñén Sánchez, Diego Peña Jiménez, Antonio Loste Ramos, Antonio Tabuenca Sánchez, Alfredo Chárlez Marco, Javier Rodríguez Vela
Las lesiones traumáticas de la columna cervical son infrecuentes en los niños, representando el 1% de las fracturas pediátricas y el 2% de todas las lesiones raquídeas.Es importante conocer que la columna cervical en la infancia presenta variaciones anatómicas que en ocasiones pueden interpretarse como patológicas ya que en los niños una adecuada exploración física muchas veces puede ser complicada.El objetivo de este caso clínico es mostrar un hallazgo radiológico fisiológico de la columna cervical infantil que tiende a ser malinterpretado como patológico: la pseudosubluxación C2-C3...
February 20, 2018: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/29890104/rol-del-enteropar%C3%A3-sito-enterobius-vermicularis-en-la-apendicitis-cecal
#2
Luis Santos Spitale, Rogelio Daniel Pizzi, Axel Tomas, Mirtha Gladys Paez Rearte, Hugo Luis Pizzi
RESUMENSe informan sesenta y cinco casos de enterobiasis del apéndice cecal por Enterobius vermicularis u Oxiurus vermicularis. La enterobiasis es una parasitosis cosmopolita 5, 8,13 y frecuente. Es útil establecer si puede ser causa de apendicitis y los mecanismos involucrados. Según la literatura clásica, E. vermicularis, no es agente causal de apendicitis per se, pero permite la reproducción de los gérmenes que infiltran la pared y producen apendicitis.5, 9,10 El propósito del trabajo es informar la prevalencia de E...
September 8, 2017: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/29890095/angioembolizaci%C3%A3-n-simult%C3%A3-nea-de-%C3%A3-rganos-en-la-estrategia-de-tratamiento-no-operatorio-en-trauma-cerrado-de-abdomen
#3
Sebastian Eduardo Velez
Antecedentes: el tratamiento no operatorio (TNO) es el abordaje sugerido en el trauma cerrado de abdomen en pacientes estables sin lesiones necesariamente quirúrgicas.Entre las herramientas utilizadas, se ha destacado la angioembolizacion como método de detención de la hemorragia o en lesiones potencialmente sangrantes. La existencia de más de una lesión podría ser factible de tratar por esta vía.Objetivos: mostrar la experiencia de un hospital de urgencias en la utilización de angioembolización en el tratamiento no operatorio de más de un órgano abdominal lesionado...
September 8, 2017: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/29650431/-efficacy-safety-and-satisfaction-of-sedation-analgesia-in-spanish-emergency-departments
#4
Concepción Míguez Navarro, Niki Oikonomopoulou, Arístides Rivas García, Andrea Mora Capín, Gloria Guerrero Márquez
OBJECTIVES: To offer analgesia and sedation should be a priority in paediatric emergency departments. The aim of this study was to determine the effectiveness and safety of the sedation-analgesia procedure, as well as the satisfaction of the doctors, patients and parents. METHODS: A multicentre, observational, and prospective analytical study was conducted on the sedation-analgesia procedure performed on children younger than 18 years old in 18 paediatric emergency departments in Spain from February 2015 until January 2016...
April 9, 2018: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/29650429/-emergency-department-consultations-associated-with-unintentional-injuries-a-cases-series
#5
Cristina Arribas Sánchez, Eduardo J Bardón Cancho, Arístides Rivas García, Santiago Mintegi, Rafael Marañón Pardillo
OBJECTIVE: To analyse the clinical and epidemiological characteristics of children who are attended in Emergency Departments (EDs) for an unintentional injury in Spain. METHODS: Multicentre case series with prospective data collection conducted during 12 months in the ED of 11 hospitals belonging to the Spanish Paediatric Emergency Research Group. Data were collected between September 2014 and January 2015, continuing for one year in all paediatric EDs, and included children between 0 and 16 years old seen for an unintentional injury...
April 9, 2018: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/29188911/-physical-structure-human-resources-and-health-care-quality-indicators-in-public-hospital-emergency-departments-in-the-autonomous-communities-of-madrid-and-catalonia-a-comparative-study
#6
Carmen Del Arco Galán, Belén Rodríguez Miranda, Juan González Del Castillo, César Carballo, Carlos Bibiano Guillén, Santiago Artillo, Òscar Miró, F Javier Martín-Sánchez
OBJECTIVES: To compare the general, structural, and organizational characteristics of public hospital emergency departments in the Spanish autonomous communities of Madrid and Catalonia. MATERIAL AND METHODS: Descriptive survey-based study covering 3 areas of inquiry: general hospital features (18 questions), structural features of the emergency department (14 questions), and organizational and work-related policies of the emergency department (30 questions). Hospitals were grouped according to complexity: local hospitals (level 1), high-technology or referral hospitals (levels 2-3)...
2017: Emergencias: Revista de la Sociedad Española de Medicina de Emergencias
https://www.readbyqxmd.com/read/28991274/psychosocial-risks-and-stress-as-predictors-of-burnout-in-junior-doctors-performing-emergency-guards
#7
María Fernández-Prada, Joaquín González-Cabrera, Concepción Iribar-Ibabe, José María Peinado
Objective: To study the stress, the psychosocial risks associated to the job and the burnout, in a group of junior doctors working at the emergency ward; and to analyze what of those variables could predict and are better related with burnout. Methods: Cross-sectional study, with a sample of 42 junior doctors which are on duty in the emergency ward of the University Hospital San Cecilio, Granada (Spain). The Spanish adapted version of the Perceived Stress Scale was used to evaluate stress, the Maslach Burnout Inventory (MBI) to evaluate the professional burnout and the adapted and scaled questionnaire for the self-evaluation of psychosocial risks at work (CopSoQ-ISTAS21)...
2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/28767919/assessment-of-operative-times-of-multiple-surgical-specialties-in-a-public-university-hospital
#8
Altair da Silva Costa
Objective: To evaluate the indicators duration of anesthesia, operative time and time patients stay in the operating rooms of different surgical specialties at a public university hospital. Methods: It was done by a descriptive cross-sectional study based on the operating room database. The following stages were measured: duration of anesthesia, procedure time and patient length of stay in the room of the various specialties. We included surgeries carried out in sequence in the same room, between 7:00 a...
April 2017: Einstein
https://www.readbyqxmd.com/read/28750729/-preparation-of-sedation-analgesia-procedures-in-spanish-paediatric-emergency-departments-a-descriptive-study
#9
Concepción Míguez Navarro, Niki Oikonomopoulou, Jorge Lorente Romero, Paula Vázquez López
INTRODUCTION: The objective of this study was to describe the current practice regarding the preparation of the sedation-analgesia (SA) procedures performed in the paediatric emergency centres in Spain. MATERIAL AND METHODS: A multicentre, observational and prospective analytical study was carried out on the SA procedures that were performed on children under 18 years-old in 18 paediatric emergency departments between February 2015 and January 2016. RESULTS: A total of 658 SA procedures were registered in 18 hospitals of Spain, most of them to children older than 24 months...
July 24, 2017: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/28699991/factors-influencing-the-missed-nursing-care-in-patients-from-a-private-hospital
#10
Raúl Hernández-Cruz, María Guadalupe Moreno-Monsiváis, Sofía Cheverría-Rivera, Aracely Díaz-Oviedo
Objective: to determine the factors that influence the missed nursing care in hospitalized patients. Methods: descriptive correlational study developed at a private hospital in Mexico. To identify the missed nursing care and related factors, the MISSCARE survey was used, which measures the care missed and associated factors. The care missed and the factors were grouped in global and dimension rates. For the analysis, descriptive statistics, Spearman's correlation and simple linear regression were used...
July 10, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28678910/working-hours-and-health-in-nurses-of-public-hospitals-according-to-gender
#11
Juliana da Costa Fernandes, Luciana Fernandes Portela, Rosane Härter Griep, Lúcia Rotenberg
OBJECTIVE: To assess the association between weekly working hours and self-rated health of nurses in public hospitals in Rio de Janeiro, State of Rio de Janeiro, Brazil. METHODS: A total of 3,229 nurses (82.7% of the eligible group) participated in this cross-sectional study, carried out between April 2010 and December 2011. The collection instrument consisted of a self-administered multidimensional questionnaire. The weekly working hours were calculated from a recall of the daily hours worked over seven consecutive days; this variable was categorized according to tertiles of distribution for men and women...
June 26, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28614429/clinical-and-epidemiological-aspects-of-cornea-transplant-patients-of-a-reference-hospital
#12
Giovanna Karinny Pereira Cruz, Isabelle Campos de Azevedo, Diana Paula de Souza Rego Pinto Carvalho, Allyne Fortes Vitor, Viviane Euzébia Pereira Santos, Marcos Antonio Ferreira
Objective: clinically characterizing cornea transplant patients and their distribution according to indicated and post-operative conditions of cornea transplantation, as well as estimating the average waiting time. Method: a cross-sectional, descriptive and analytical study performed for all cornea transplants performed at a reference service (n=258). Data were analyzed using Statistical Package for the Social Sciences, version 20.0. Results: the main indicator for cornea transplant was keratoconus...
June 8, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28610846/-frequent-attenders-in-primary-health-care-centres-and-frequent-attenders-in-emergency-departments
#13
Cesáreo Fernández Alonso, Juan Mariano Aguilar Mulet, Rodolfo Romero Pareja, Arístides Rivas García, Manuel Enrique Fuentes Ferrer, Juan Jorge González Armengol
OBJECTIVE: To identify predictors of frequent attenders (HF) in Primary Health Care (PHC) centres in a sample of frequent attenders (HF) in Emergency Departments (ED). DESIGN: This was an observational, retrospective, multicentre cohort study. PARTICIPANTS: The HF patients were selected from patients seen in the ED between January 1 and December 31, 2013. Setting Patients were recruited from 17 public hospitals of the Community of Madrid, Spain...
April 2018: Atencion Primaria
https://www.readbyqxmd.com/read/28489169/mortality-of-urgency-versus-elective-videolaparoscopic-cholecystectomy-for-acute-cholecystitis
#14
Saulo José Oliveira Felício, Ediriomar Peixoto Matos, Antonio Maurício Cerqueira, Kurt Wolfgang Schindler Freire de Farias, Ramon de Assis Silva, Mateus de Oliveira Torres
Background: Surgical approach is still controversial in patients with acute cholecystitis: to treat clinically the inflammatory process and operate electively later or to operate immediately on an emergency basis? Aim: To test the hypothesis that urgent laparoscopic cholecystectomy in acute cholecystitis has a higher mortality than elective laparoscopic cholecystectomy. Methods: From the data available in Datasus, mortality was compared between patients undergoing elective laparoscopic cholecystectomy for cholelithiasis and in urgency...
January 2017: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/28300965/collective-strategy-for-facing-occupational-risks-of-a-nursing-team
#15
Marli Maria Loro, Regina Célia Gollner Zeitoune
OBJECTIVE: To socialize an educational action through the process of group discussion and reflection, with the aim to increase the care of nursing workers in facing occupational risks. METHOD: A qualitative descriptive study using the Convergent Care Research modality with nursing staff working in an emergency department of a hospital in the northwest region of the state of Rio Grande do Sul, Brazil. Data collection was carried out through educational workshops and information was processed using content analysis, resulting in two thematic categories: A look at the knowledge and practices about occupational risks in nursing; and adherence to protective measures by the nursing team against occupational risks...
March 9, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28276227/-usefulness-of-biomarkers-to-predict-bacteraemia-in-patients-with-infection-in-the-emergency-department
#16
REVIEW
A Julián-Jiménez, F J Candel, J González-Del Castillo
Between all patients attended in the Emergency Department (ED), 14.3% have an infectious disease diagnosis. Blood cultures (BC) are obtained in 14.6% of patients and have a profitability of 20%, whereas 1% are considered as contaminated and 1-3% of positive cultures correspond to discharge patients ("hidden bacteraemia"). The highest number of confirmed bacteraemias comes from the samples of patients with urinary tract infections, followed by community-acquired pneumonia. The suspicion and detection of bacteraemia have an important diagnostic and prognostic significance and could modify some important making-decisions (admission, BC request, administration of appropriate and early antimicrobial, etc)...
August 2017: Revista Española de Quimioterapia: Publicación Oficial de la Sociedad Española de Quimioterapia
https://www.readbyqxmd.com/read/28198965/development-of-a-virtual-learning-environment-for-cardiorespiratory-arrest-training
#17
Anazilda Carvalho da Silva, Andrea Bernardes, Yolanda Dora Martinez Évora, Maria Célia Barcellos Dalri, Alexandre Ribeiro da Silva, Camila Santana Justo Cintra Sampaio
OBJECTIVE: To develop a Virtual Learning Environment (VLE) aiming at the training of nursing team workers and emergency vehicle drivers in Basic Life Support (BLS) to attend Cardiorespiratory arrest, and to evaluate the quality of its contents among specialists in the area of Emergency and Urgent care. METHOD: Applied research of technological development. The methodology used was based on the Instructional Design Model (ADDIE), which structures the teaching-learning planning in different stages (analysis, design, development, implementation and evaluation)...
November 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28032880/ischemic-hepatitis-secondary-to-cardiac-tamponade-a-rare-cause
#18
S Goñi Esarte, J M Zozaya Urmeneta, M Goñi Esarte, J I Úriz Otano, I Idoate Santesteban, M T Beunza Pujol
Ischemic hepatitis (IH) is a rare entity, usually associated with hypoperfusion secondary to low cardiac output (congestive heart failure, acute myocardial infarction or dilated cardiomyopathy), followed in frequency by respiratory insufficiency and sepsis. A 49-year-old man presented at the emergency room with progressive dyspnea and hypotension, objectifying a significant increase in transaminases (aspartate transferase 5.550 U / L, alanine transferase 3.826 U / L) and LDH (10.375 U / L). Liver Doppler ultrasound was normal...
December 30, 2016: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/28032872/the-organizational-commitment-of-emergency-physicians-in-spanish-public-hospitals
#19
A Noval de la Torre, J Bulchand Gidumal, S Melián González
Background. There are not too many studies that deal with the organizational commitment of emergency physicians. This commitment has been shown to impact organizational performance. The aim of this paper is to analyse the degree of commitment of the emergency physicians in Spanish public hospitals and the factors that may influence it. Method. Online survey using SurveyMonkey to emergency physicians in Spanish public hospitals. Results. Two hundred and five questionnaires were received, 162 from physicians and 43 from heads of the emergency service...
December 30, 2016: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/28000469/tablas-de-referencia-para-aspectos-antropom%C3%A3-tricos-y-de-condici%C3%A3-n-f%C3%A3-sica-en-estudiantes-varones-chilenos-de-10-a-14-a%C3%A3-os
#20
Claudio Hernández Mosqueira, Dagoberto Hernández Vasquez, Alexis Caniuqueo Vargas, Humberto Castillo Quezada, Sandro Fernandes Da Silva, Gustavo Pavez-Adasme, Cristian Martínez Salazar, Jaime Cárcamo-Oyarzún, José Fernandes Filho
Introducción: Chile en las últimas décadas ha experimentado un cambio en su perfil epidemiológico nutricional, pasando de una situación caracterizada por una elevada prevalencia de desnutrición y enfermedades infecciosas/parasitarias a otro completamente distinto, en donde las enfermedades crónicas y degenerativas presentan una elevada prevalencia.Objetivo: el objetivo del estudio es elaborar tablas de referencia de aspectos antropométricos y de condición física en estudiantes varones de 10 a 14 años de la ciudad de Chillán...
November 29, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
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