RESUMO
BACKGROUND: Chronic venous insufficiency, in its final stage can cause venous ulcers. Venous ulcers have a prevalence of 0.5 % to 0.8 % in the general population, and increases starting at 60 years of age. This condition often causes increased dependency in affected individuals, as well as a perceived reduced quality of life and family overload. Local Treating chronic venous ulcers has 2 components: topically healing the ulcer and controlling the venous insufficiency. There is evidence that compressive therapy favours the healing process of venous ulcers. The studies we have found suggest that the use of multilayer bandage systems is more effective than the use of bandages with a single component, these are mostly using in Spain. Multilayer compression bandages with 2 layers are equally effective in the healing process of chronic venous ulcers as 4-layer bandages and are better tolerated and preferenced by patients. More studies are needed to specifically compare the 2-layer bandages systems in the settings where these patients are usually treated. METHOD/DESIGN: Randomised, controlled, parallel, multicentre clinical trial, with 12 weeks of follow-up and blind evaluation of the response variable. The objective is to assess the efficacy of multilayer compression bandages (2 layers) compared with crepe bandages, based on the incidence of healed venous ulcers in individuals treated in primary care nursing consultations, at 12 weeks of follow-up. The study will include 216 individuals (108 per branch) with venous ulcers treated in primary care nursing consultations. The primary endpoint is complete healing at 12 weeks of follow-up. The secondary endpoints are the degree of healing (Resvech.2), quality of life (CCVUQ-e), adverse reactions related to the healing process. Prognosis and demographic variables are also recorder. Effectiveness analysis using Kaplan-Meier curves, a log-rank test and a Cox regression analysis. The analysis was performed by intention to treat. DISCUSSION: The study results can contribute to improving the care and quality of life of patients with venous ulcers, decreasing healing times and healthcare expenditure and contributing to the consistent treatment of these lesions. TRIAL REGISTRATION: This study has been recorded in the Clinical Trials.gov site with the code NCT02364921. 17 February 2015.
RESUMO
Los Trastornos Generalizados del Desarrollo (TGD) o Trastornosdel Espectro Autista (TEA) conforman un amplio grupode alteraciones del neurodesarrollo que afectan a la personadurante toda su vida, produciendo discapacidad con diferentegrado de severidad. Aunque actualmente no hay un tratamientocurativo, diversos estudios han mostrado la importancia de la deteccion e intervencion precoz para la mejora del pronostico y la calidad de vida de estos niños y sus familias. A pesarde esto, no existen programas de cribado especificos para estostrastornos en el Sistema de Salud, por lo que la formacion e informacion a cerca de los mismos cobra una especial relevancia.Los profesionales enfermeros, como integrantes delequipo de Atencion Primaria, pueden ejercer una importantelabor en la deteccion de estos trastornos a traves de los programasde control del niño sano y en la derivacion y coordinacion con los servicios especializados (AU)
Pervasive developmental disorders (PDD) or Autism SpectrumDisorders (ASD) encompass a wide group of neurodevelopmentdisorders that affect the patient throughout life,producing different degrees of disability. Although at the presenttime there is no curative treatment, several studies haveshown the importance of early detection and intervention in orderto improve prognosis and the quality of life of these childrenand their families. In spite of this, there are no specificscreening programmes for these disorders in the HealthcareSystem, making education and information on these conditionsespecially relevant. Nursing professionals, as membersof a Primary Care team, can greatly increase the detection ofthese disorders via healthy children management programmesand referral and coordination with specialised services (AU)