Las relaciones entre profesionales en los códigos de deontología de diversas profesiones de la salud / There lations between professionals in the deontology codes of several professions of health

Una buena atención y cuidado de las personas en el ámbito sanitario requiere de la coordinación entre los profesionales responsables de dicha atención, tanto a nivel interdisciplinar como entre niveles asistenciales. Las consideraciones éticas que subyacen, siendo fundamentales, han sido poco estudiadas de manera específica, a pesar de que todos los Códigos de Deontología de las profesiones relacionadas con la salud recogen recomendaciones y sugerencias relativas a las relaciones entre profesionales. En este artículo se desarrolla una revisión reflexiva sobre estas recomendaciones, a partir de los Códigos de las profesiones relacionadas con nuestro ámbito asistencial, y su importancia en el mismo

A good care of people in the health field requires coordination among the professionals responsible for such care, both interdisciplinary and between levels of care. The ethical considerations that underlie, being fundamental, have been little studied in a specific way, although all the Codes of Deontology of the professions related to the health collect recommendations and suggestions regarding the relations between professionals. This article makes a reflective review on these recommendations and their importance in our care environment

There relations between professionals in the deontology codes of several professions of health.

A good care of people in the health field requires coordination among the professionals responsible for such care, both interdisciplinary and between levels of care. The ethical considerations that underlie, being fundamental, have been little studied in a specific way, although all the Codes of Deontology of the professions related to the health collect recommendations and suggestions regarding the relations between professionals. This article makes a reflective review on these recommendations and their importance in our care environment.

Opinión de los universitarios sobre los cuidados al final de la vida / University students' opinions regarding end-of-life care

Introducción. El progresivo envejecimiento de la población por el aumento de la esperanza de vida, unido a los avances tecnológicos y científicos, hace que la población demande cuidados específicos al final de la vida, con especial cuidado al respeto a sus voluntades y cuidados finales que lleven a lo que se considera una muerte digna y sin sufrimiento. Materiales y métodos. A través de este estudio descriptivo mediante encuesta conocemos la información que manejan los universitarios y cuáles son sus deseos y opiniones con respecto a la enfermedad terminal y los cuidados al final de la vida, el testamento vital y la declaración de últimas voluntades. Se han encuestado 300 alumnos del Campus Universitario de Zaragoza, estudiantes de facultades de sociales y ciencias. Resultados. Los universitarios, mayoritariamente mujeres, de religión cristiana y con una edad media de 22 años, desearían ser informadas de su enfermedad por su médico, que tuviera disposición para hablar de su enfermedad y de sus sentimientos. Valoran en su médico especialmente su implicación y comprensión. Desean hablar de su etapa final, de sus deseos, de la donación de órganos y de los cuidados paliativos necesarios aplicados en su domicilio. En caso de fallecimiento preferirían la incineración. Conclusión. Los jóvenes universitarios no están suficientemente informados sobre los documentos de últimas voluntades (voluntades anticipadas o testamento vital), tienen interés por este tema y esperan de sus médicos y familiares implicación y comprensión ante la enfermedad y la muerte. Desean ser escuchados y tienen opinión sobre lo que se debería hacer cuando llegase el final de su vida (AU)

Introduction. The progressive aging of the population, increased life expectancy, coupled with technological and scientific advances mean that the population demands specific care at the end of life, with special care to respect their wishes and care leading to end what has been called a dignified death without suffering. Materials and methods. Through this study descriptive survey know the information handled by university and what their wishes and opinions regarding terminal illness and care at the end of life, living will and declaration of wills (advance directives). Respondents were 300 students of the University of Zaragoza Campus, students and faculties of social and sciences. Results. University students, mostly women, of Christian religion with a mean age of 22 years, would like to be informed of your condition by your doctor, you have available to discuss their illness and their feelings. Your doctor especially valued their involvement and understanding. They want to talk about the final stage, their desires, of organ donation. Wish, also, applied necessary palliative care at home. In case of death wish to be cremated. Conclusion. The university students are not sufficiently informed about the documents of wills (advance directives or living will), have an interest in this issue and expect from their doctors and family involvement and understanding of the disease and death. They want to be heard and have an opinion on what should be done when it came to the end of their lives (AU)

Hypertension in the elderly.

Background. The incidence of hypertension in the Western countries is continuously increasing in the elderly population and remains the leading cause of cardiovascular and morbidity. Methods. we analysed some significant clinical trials in order to present the relevant findings on those hypertensive population. Results. Several studies (SYST-EUR, HYVET, CONVINCE, VALUE, etc.) have demonstrated the benefits of treatment (nitrendipine, hydrochrotiazyde, perindopril, indapamide, verapamil, or valsartan) in aged hypertensive patients not only concerning blood pressure values but also the other important risk factors. Conclusion. Hypertension is the most prevalent cardiovascular disorder in the Western countries, and the relevance of receiving pharmacological treatment of hypertension in aged patients is crucial; in addition, the results suggest that combination therapy-nitrendipine plus enalapril-could have more benefits than those observed with the use of nitrendipine alone.

[Abdominal girth utility as a method of metabolic syndrome screening in people with hypertension]. / Utilidad del perímetro abdominal como método de cribaje del síndrome metabólico en las personas con hipertensión arterial.

BACKGROUND: The most useful criteria for diagnosis of the Metabolic Syndrome (MS) are those proposed by the ATP-III from NCEP 2001, reviewed in 2005. Waist circumference is one of the criteria included in the ATP-III estimate. Given the high incidence of coronary disease attributable to this risk factor, it seems interesting to evaluate its performance as an isolated parameter for the screening of MS among people with a variety of other prevalent cardiovascular risk factors, such as high blood pressure. DESIGN: case-control study. Cases were defined as patients with hypertension and MS. Controls were those patients with hypertension and without MS. SAMPLE: the entire population attended in a Primary Care area that had, unless one blood analysis performed between July first 2007 and December 31st 2007. SAMPLE size: 137 individuals were included (60 cases and 77 controls). STATISTICAL ANALYSIS: test of logistical regression was used to estimate of the probability of suffering from MS according to values of waist circumference. RESULTS: Probability of MS among hypertensive patients = 1/ (1+2,718281828-(-10+ (perimeter x 0,097))). Probability of MS among female hypertensive patients = 1/(1+2,718281828-(-10+ (perimeter x 0,099))). Probability of MS among male hypertensive patients = 1/(1 +2,718281828-(-10+ (perimeter x 0,105))). CONCLUSIONS: Among hypertensive patients, MS can be predicted by means of a formula (calculator), which takes waist circumference as unique variable. This method can be used to better stratify patients according to their cardiovascular risk and to identify those who need an early preventive intervention. We propose a table with the calculations already made.

Utilidad del perímetro abdominal como método de cribaje del síndrome metabólico en las personas con hipertensión arterial / Abdominal girth utility as a method of metabolic syndrome screening in people with hypertension

Fundamento: Para el diagnóstico de Síndrome Metabólico (SM)los criterios mas utilizados son los propuestos, por el ATP-III del NCEPde 2001, actualizados posteriormente en 2005. El perímetro de cinturaes uno de los cinco criterios utilizados para su diagnóstico. Dada la elevadaincidencia ajustada de enfermedad coronaria atribuible a este factorde riesgo, el objetivo de este trabajo es valorar la utilidad del perímetrode cintura como método de cribaje único de SM en la poblacióncon otros factores de riesgo muy prevalentes, como la HTA.Método: Estudio de casos (pacientes hipertensos con SM) y controles(pacientes hipertensos sin SM). Mediante muestreo sistemáticode la totalidad de individuos hipertensos de un cupo de Atención Primariacon resultados de al menos una analítica sanguínea desde el1/07/2007 hasta 31/12/2007. El tamaño muestral fue de 137 individuos(casos = pacientes hipertensos con SM = 60 y controles = pacienteshipertensos sin SM=77). Se utilizó el test de regresión logística para elcálculo de la probabilidad de SM disponiendo únicamente del perímetroabdominal.Resultados: Los resultados para el objetivo principal fueron: Probabilidadde SM en población hipertensa=1/(1+2,718281828-(-10+ (perímetrox 0,097))), Probabilidad de SM en mujeres hipertensas=1/(1+2,718281828-(-10+ (perímetro x 0,099))), Probabilidad de SM en varoneshipertensos=1/(1+2,718281828-(-10+ (perímetro x 0,105))).Conclusiones: Utilizando una calculadora podría predecirse laprobabilidad de SM en personas hipertensas con el perímetro de cinturacomo única variable, priorizando mejor a los pacientes con más necesidadpreventiva y mayor riesgo cardiovascular. Se propone una tablacon los cálculos ya realizados(AU)

Background: The most useful criteria for diagnosis of theMetabolic Syndrome (MS) are those proposed by the ATP-III fromNCEP 2001, reviewed in 2005. Waist circumference is one of the criteriaincluded in the ATP-III estimate. Given the high incidence ofcoronary disease attributable to this risk factor, it seems interesting toevaluate its performance as an isolated parameter for the screening ofMS among people with a variety of other prevalent cardiovascularrisk factors, such as high blood pressure.Methods: Design: case-control study. Cases were defined aspatients with hypertension and MS. Controls were those patientswith hypertension and without MS. Sample: the entire populationattended in a Primary Care area that had, unless one blood analysisperformed between July first 2007 and December 31st 2007. Samplesize: 137 individuals were included (60 cases and 77 controls). Statisticalanalysis: test of logistical regression was used to estimate ofthe probability of suffering from MS according to values of waist circumference.Results: Probability of MS among hypertensive patients = 1/(1+2,718281828-(-10+ (perimeter x 0,097))). Probability of MS among femalehypertensive patients = 1/(1+2,718281828-(-10+ (perimeter x 0,099))).Probability of MS among male hypertensive patients = 1/(1+2,718281828-(-10+ (perimeter x 0,105)))Conclusions: Among hypertensive patients, MS can be predictedby means of a formula (calculator), which takes waist circumferenceas unique variable. This method can be used to better stratifypatients according to their cardiovascular risk and to identify thosewho need an early preventive intervention. We propose a table withthe calculations already made(AU)

Síndrome de Job asociado a linfoma de Hodgkin / Job’s syndrome associated with Hodgkin’s lymphoma

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Dislipemias e hipertensión arterial: asociación o coincidencia / Dyslipidemia and arterial hypertension: association or coincidence

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