Plasma rico en plaquetas como opción terapéutica en el síndrome de la almohadilla grasa plantar / Platelet-rich plasma as a therapeutic option in heel fat pad syndrome

El síndrome de la almohadilla grasa plantar es la segunda causa de talalgia más frecuente en las consultas de Rehabilitación. Se trata de una desestructuración de la grasa plantar que conlleva la pérdida de amortiguación en la marcha y dolor plantar. Es debido a la degeneración o el traumatismo repetido que causa la alteración de la estructura de la almohadilla plantar, perdiendo su compresibilidad y función. El diagnóstico del síndrome de la grasa plantar se realiza mediante ecografía. El tratamiento se basa fundamentalmente en medidas conservadoras. Se plantea la infiltración con plasma rico en plaquetas como opción terapéutica con el objetivo de mejorar el dolor y la inflamación de la almohadilla grasa plantar. Describimos el primer caso clínico publicado de infiltración con plasma rico en plaquetas como tratamiento del síndrome de la almohadilla grasa plantar.(AU)

Heel fat pad syndrome is the second most frequent cause of heel pain at Rehabilitation services. It is a structure damage of the plantar fat that leads to loss of cushioning in gait and plantar pain. It is due to degeneration or repeated trauma that causes alteration of the structure of the foot pad losing its compressibility and function. The diagnosis of heel fat pad syndrome is made by ultrasound study. Treatment is primarily based on conservative measures. Infiltration with platelet-rich plasma is proposed as a therapeutic option with the aim of improving pain and inflammation of the plantar fat pad. We report the first published case of ultrasound-guided infiltration with platelet-rich plasma as a treatment for heel fat pad syndrome.(AU)

[Platelet-rich plasma as a therapeutic option in heel fat pad syndrome]. / Plasma rico en plaquetas como opción terapéutica en el síndrome de la almohadilla grasa plantar.

Heel fat pad syndrome is the second most frequent cause of heel pain at Rehabilitation services. It is a structure damage of the plantar fat that leads to loss of cushioning in gait and plantar pain. It is due to degeneration or repeated trauma that causes alteration of the structure of the foot pad losing its compressibility and function. The diagnosis of heel fat pad syndrome is made by ultrasound study. Treatment is primarily based on conservative measures. Infiltration with platelet-rich plasma is proposed as a therapeutic option with the aim of improving pain and inflammation of the plantar fat pad. We report the first published case of ultrasound-guided infiltration with platelet-rich plasma as a treatment for heel fat pad syndrome.

Analysis of chromium and sulphate origins in construction recycled materials based on leaching test results.

Twenty samples of recycled aggregates from construction and demolition waste (CDW) with different compositions collected at six recycling plants in the Andalusia region (south of Spain) were characterised according to the Landfill Directive criteria. Chromium and sulphate were identified as the most critical compounds in the leachates. To detect the sources of these two pollutant constituents in recycled aggregate, environmental assessments were performed on eight construction materials (five unused ceramic materials, two old crushed concretes and one new mortar manufactured in the laboratory). The results confirmed that leached sulphate and Cr were mainly released by the ceramic materials (bricks and tiles). To predict the toxicological consequences, the oxidation states of Cr (III) and Cr (VI) were measured in the leachates of recycled aggregates and ceramic materials classified as non-hazardous. The bricks and tiles mainly released total Cr as Cr (III). However, the recycled aggregates classified as non-hazardous according to the Landfill Directive criteria mainly released Cr (VI), which is highly leachable and extremely toxic. The obtained results highlight the need for legislation that distinguishes the oxidative state in which chromium is released into the environment. Leaching level regulations must not be based solely on total Cr, which can lead to inaccurate predictions.

Valoración de un programa de educación sanitaria a pacientes con insuficiencia renal crónica / Assessment of a programme of health education for patients chronic renal insufficiency

El incremento de pacientes con IRC que necesitan de terapias sustitutivas de la función renal es un hecho en nuestro entorno sanitario. La educación sanitaria a estos pacientes es una de las actividades más importantes de la enfermera y es imprescindible para conseguir su buena adaptación al tratamiento, además de que facilite la elección de la opción terapéutica más adecuada. El objetivo de este estudio se centra en valorar nuestro programa de educación sanitaria para pacientes con IRC. Se ha realizado un estudio descriptivo y retrospectivo, para el cual se seleccionaron a todos los pacientes, que entraron los últimos cuatro años, en el Programa de Educación Sanitaria con IRC (PES). La revisión de los datos fue a través de los registros de enfermería. Participaron del programa de Educación Sanitaria 63 pacientes, de ellos 44 iniciaron tratamiento con hemodiálisis y 19 con diálisis peritoneal. Cabe destacar que en 49 pacientes se realizó el diagnóstico de "duelo" y en 59 el de "ansiedad". Tras esta valoración podemos contemplar nuevos diagnósticos de enfermería como pueden ser el "Manejo inefectivo del régimen terapéutico" o el "No seguimiento del tratamiento" (AU)