RESUMEN
No disponible
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Traumatismos por Radiación/complicaciones , Trastornos Migrañosos/etiología , Adenocarcinoma del Pulmón/complicaciones , Adenocarcinoma del Pulmón/radioterapia , Neoplasias Pulmonares/complicaciones , Neoplasias Pulmonares/radioterapia , Imagen por Resonancia Magnética , Trastornos Migrañosos/diagnóstico por imagen , SíndromeRESUMEN
PURPOSE: This study aims to determine whether elevated central macular thickness (CMT) before uncomplicated cataract surgery may be a risk factor for developing cystic macular edema (CMEs) as measured by Cirrus-OCT and defined as the presence of macular intraretinal cysts. METHODS: A prospective study in Hospital Universitario Poniente, Almeria, Spain, where 379 patients were included for optical coherence tomography (OCT) before cataract surgery, the following day, at 1 month and at 3 months and the presence of macular intraretinal cysts assessed by OCT. Patients with known risk factors for developing CME and patients who developed major surgical complications were excluded. RESULTS: One hundred seventy-nine patients completed the study. The pre-surgical CMT was 257.75 (20.60) µm measured by Cirrus-OCT. After 1 month, there was an average increase in CMT of 277.86 (45.29) µm, and this increase in thickness decreased after 3 months to an average value of 267.86 (20.17) µm. There were 10.34% of patients with cysts in some of the controls after surgery. This study proposes a binary logistic model to predict the presence of CME depending on the pre-surgery CMT. The cut-off point was 260.5 µm. CONCLUSION: Patients with pre-surgical macular thickness > 260.5 µm measured by Cirrus- OCT before cataract surgery, no known risk factors for developing CME and no major surgical complications presented 9.08 times more probability to develop macular intraretinal cysts after uncomplicated cataract surgery.
Asunto(s)
Edema Macular , Facoemulsificación , Humanos , Edema Macular/diagnóstico , Edema Macular/etiología , Estudios Prospectivos , Factores de Riesgo , Tomografía de Coherencia Óptica , Agudeza VisualRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Neoplasias del Recto/patología , Neoplasias del Recto/diagnóstico , Hueso Occipital/diagnóstico por imagen , Neoplasias Craneales/diagnóstico por imagen , Neoplasias Craneales/secundario , Adenocarcinoma/diagnóstico , Adenocarcinoma/patologíaRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Anciano , Linfohistiocitosis Hemofagocítica/virología , Subtipo H3N2 del Virus de la Influenza A/aislamiento & purificación , Gripe Humana/virología , Linfohistiocitosis Hemofagocítica/diagnóstico , Linfohistiocitosis Hemofagocítica/sangre , Oseltamivir/uso terapéutico , Antivirales/uso terapéutico , Linfohistiocitosis Hemofagocítica/tratamiento farmacológicoRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Anciano , Hipotiroidismo/complicaciones , Síndrome Nefrótico/complicaciones , Hipotiroidismo/tratamiento farmacológico , Síndrome Nefrótico/tratamiento farmacológico , Atorvastatina/uso terapéutico , Tiroxina/uso terapéuticoRESUMEN
No disponible
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Trastorno Bipolar/etiología , Calcinosis/fisiopatología , Trastornos Heredodegenerativos del Sistema Nervioso/diagnóstico , Ganglios Basales/fisiopatologíaAsunto(s)
Actinomyces , Actinomicosis/microbiología , Bacteriemia/microbiología , Actinomyces/efectos de los fármacos , Actinomyces/aislamiento & purificación , Actinomicosis/tratamiento farmacológico , Adulto , Combinación Amoxicilina-Clavulanato de Potasio/uso terapéutico , Antibacterianos/uso terapéutico , Bacteriemia/tratamiento farmacológico , Ceftazidima/uso terapéutico , Neoplasias Cerebelosas/tratamiento farmacológico , Daptomicina/uso terapéutico , Humanos , Masculino , Meduloblastoma/tratamiento farmacológicoRESUMEN
No disponible
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Síndrome de Turner/diagnóstico , Anemia/etiología , Colestasis/etiología , Síndrome de Turner/complicacionesRESUMEN
Peripheral venous catheter-associated bloodstream infections (PVC-BSIs) lead to prolonged hospitalization, morbidity and increased costs. The impact of infection-prevention measures on the rate of PVC-BSIs in a university hospital in Spain was assessed. An active surveillance programme was initiated in 2015, which revealed a high PVC-BSI incidence ratio (0.48/1000 patient-days). A bundle aimed at nurses, medical staff and patients was implemented, and a Catheter Infection Team (CIT) was set up. The intervention achieved a decrease in PVC-BSI rate: 0.34 in 2016, 0.29 in 2017, and 0.17 in 2018. The decline was greatest for Gram-negative PVC-BSIs (67.6% in 2015, 35.3% in 2018).
Asunto(s)
Infecciones Relacionadas con Catéteres/prevención & control , Cateterismo Periférico/efectos adversos , Cateterismo Periférico/métodos , Control de Infecciones/métodos , Sepsis/prevención & control , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Infecciones Relacionadas con Catéteres/epidemiología , Femenino , Humanos , Incidencia , Control de Infecciones/organización & administración , Masculino , Persona de Mediana Edad , Sepsis/epidemiología , España/epidemiología , Adulto JovenRESUMEN
Antecedentes y objetivo: La pérdida de peso es un motivo frecuente de consulta que abarca múltiples posibilidades diagnósticas. El objetivo de este trabajo es estudiar las características de los pacientes que acuden a consulta por pérdida de peso y establecer la relación de esta con las neoplasias. Método: Se analizaron datos demográficos, pérdida de peso cuantificada, sintomatología acompañante y diagnóstico de los pacientes que acuden a consulta por este motivo, durante el año 2015. Resultados: Se incluyeron 226 pacientes, de los cuales el 44,2% presentaba una pérdida de peso≥5% en los 6 meses previos. El diagnóstico más frecuente en este grupo fueron las neoplasias, mientras que en el resto de los pacientes fueron las enfermedades digestivas. Se establece relación entre una pérdida de peso≥5% y la presencia de neoplasias. Conclusión: Una pérdida de peso superior al 5% en los 6 meses previos se asocia con la presencia de enfermedades neoplásicas, lo que exige un estudio diagnóstico exhaustivo
Background and objective: Unintentional weight loss is frequent reason to visit a doctor and it has multiple diagnostic possibilities. The objective of this study is to examine the background of the patients who seek consultation for weight loss and to establish the relationship between weight loss and neoplasia. Method: An analysis was performed on the demographic data, quantified weight loss, accompanying symptomatology, and diagnosis of patients who sought medical advice for unintentional weight loss during the year 2015. Results: A total of 226 patients were included, of whom 44.2% of them had an intentional weight loss ≥ 5% in 6 months. The most frequent diagnosis in this group was a neoplasia, whereas in the rest of patients the most common diagnosis was a gastrointestinal disease. In light of this study we can conclude that there is a relationship between unintentional weight loss≥5% and the presence of neoplasia. Conclusion: An unintentional weight loss greater than 5% in the previous 6 months is associated with the presence of neoplastic diseases, and therefore requires further diagnostic study
Asunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Pérdida de Peso , Delgadez/etiología , Neoplasias/epidemiología , Infecciones Bacterianas/epidemiología , Enfermedades del Sistema Digestivo/epidemiología , Delgadez/epidemiología , Neoplasias/diagnóstico , Factores de Riesgo , Estudios RetrospectivosRESUMEN
No disponible
Asunto(s)
Humanos , Tromboembolia/prevención & control , Fibrinolíticos/uso terapéutico , Anticoagulantes/uso terapéutico , Estudios Retrospectivos , Hospitalización/estadística & datos numéricos , PremedicaciónRESUMEN
BACKGROUND AND OBJECTIVE: Unintentional weight loss is frequent reason to visit a doctor and it has multiple diagnostic possibilities. The objective of this study is to examine the background of the patients who seek consultation for weight loss and to establish the relationship between weight loss and neoplasia. METHOD: An analysis was performed on the demographic data, quantified weight loss, accompanying symptomatology, and diagnosis of patients who sought medical advice for unintentional weight loss during the year 2015. RESULTS: A total of 226 patients were included, of whom 44.2% of them had an intentional weight loss ≥ 5% in 6 months. The most frequent diagnosis in this group was a neoplasia, whereas in the rest of patients the most common diagnosis was a gastrointestinal disease. In light of this study we can conclude that there is a relationship between unintentional weight loss≥5% and the presence of neoplasia. CONCLUSION: An unintentional weight loss greater than 5% in the previous 6 months is associated with the presence of neoplastic diseases, and therefore requires further diagnostic study.
