RESUMO
BACKGROUND AND OBJECTIVE: Sunflower seed is one of the most common edible seeds and its consumption is growing. Case reports of sunflower seed allergy have been described since the 1970s. However, there are few data on the prevalence and clinical manifestations of sunflower seed allergy. To improve understanding of sunflower seed allergy. METHODS: We evaluated the clinical and immunological features of patients with sunflower seed allergy diagnosed in the Allergy Department of a tertiary hospital in Madrid over a 5-years period. RESULTS: Forty-seven patients reported adverse reactions after ingestion of sunflower seed and had specific sensitization to sunflower seed determined by skin prick test (median 8 mm) or specific IgE (median 1.10 kUA/L). Most had an adult-onset reaction to sunflower seed preceded by a history of atopy and other food allergies, predominantly to peach, peanut and nuts. Clinical presentation of sunflower seed allergy ranged from mild to severe, with a high proportion of patients suffering severe reactions, often undertreated. A variability in the severity of symptoms was seen on repeated exposures to sunflower seed on a same patient. Levels of sunflower seed IgE were strongly correlated with levels of IgE to non-specific lipid transfer proteins, while no significant differences were found in the severity of the reactions according to sensitization to those proteins. CONCLUSION: Our findings reveal a variability of clinical presentations of sunflower seed allergy on repeated exposures and an underuse of epinephrine in anaphylaxis. We highlight the importance of strict avoidance of sunflower seed and accurate prescription and administration of epinephrine in allergic patients.
RESUMO
Introducción: Los análisis bibliométricos permiten evaluar cuantitativamente las características de una publicación científica. Objetivo: Realizar un análisis bibliométrico de los artículos originales de la revista EnfermeríaIntensiva de 2001 a 2020. Resultados: La revista EnfermeríaIntensiva ha publicado, entre 2001 y 2020, 438 trabajos, de los cuales 259 son artículos originales (59,1%). Estos artículos originales son en su mayoría estudios cuantitativos (76,1%), con una media de 30,5 (DE 13,9) referencias bibliográficas, 4,9 (DE 1,7) citas en los repertorios Web of Science y Scopus, y 15.489,5 visitas/descargas (mediana 9.090 y rango intercuartílico 4.567-15.260) según información de la web de la revista. Estos originales han sido firmados por 1.345 autores, lo que supone un índice de colaboración de 5,2 (DE 0,7). Un 78,0% de los autores son esporádicos, al haber publicado un solo trabajo. La mayoría de los artículos pertenecen a autores procedentes de hospitales y centros universitarios, situados geográficamente en las comunidades de Madrid, Cataluña, Navarra y Andalucía. Conclusiones: Existe una escasa colaboración internacional, autonómica e institucional, produciéndose el mayor nivel de colaboración entre autores de un mismo centro. La revista se ha consolidado en el panorama de la investigación científica de enfermería en España y muestra unos indicadores bibliométricos similares o incluso superiores a otras publicaciones de su entorno.(AU)
Introduction: Bibliometric analysis allow the quantitative evaluation of the characteristics of a scientific publication. Objective: To perform a bibliometric analysis of original articles in the journal EnfermeríaIntensiva from 2001 to 2020. Results: The journal EnfermeríaIntensiva has published, between 2001 and 2020, 438 works, of which 259 are original articles (59.1%). These original articles are mostly quantitative studies (76.1%), with an average of 30.5 bibliographic references (SD 13.9), 4.9 citations (SD 1.7) in the Web of Science and Scopus repertoires, and 15,489.5 visits/downloads (median 9,090 and interquartile range 4,567-15,260) according to information on the magazine's website. These originals have been signed by 1,345 authors, which represents a collaboration index of 5.2 (SD 0.7). A percentage of 78.0 of the authors are sporadic, having published only one work. Most of the articles come from authors who work in institutionally located in hospitals and university centers, and geographically in the communities of Madrid, Cataluña, Navarra and Andalucía. Conclusions: There is little international, regional and institutional collaboration, producing the highest level of collaboration between authors from the same center. The journal has established itself in the panorama of scientific nursing research in Spain and shows bibliometric indicators similar or even superior to other publications in its environment.(AU)
Assuntos
Humanos , Bibliometria , Publicações Científicas e Técnicas , Unidades de Terapia IntensivaRESUMO
INTRODUCTION: Bibliometric analysis allow the quantitative evaluation of the characteristics of a scientific publication. OBJECTIVE: To perform a bibliometric analysis of original articles in the journal Enfermería Intensiva from 2001 to 2020. RESULTS: The journal Enfermería Intensiva has published, between 2001 and 2020, 438 works, of which 259 are original articles (59.1%). These original articles are mostly quantitative studies (76.1%), with an average of 30.5 bibliographic references (SD 13.9), 4.9 citations (SD 1.7) in the Web of Science and Scopus repertoires, and 15,489.5 visits/downloads (median 9090 and interquartile range 4567-15,260) according to information on the magazine's website. These originals have been signed by 1345 authors, which represents a collaboration index of 5.2. 78.0% of the authors are sporadic, having published only one work. Most of the articles come from authors who work in institutionally located in hospitals and university centers, and geographically in the Communities of Madrid, Cataluña, Navarra and Andalucía. CONCLUSIONS: There is little international, regional and institutional collaboration, producing the highest level of collaboration between authors from the same center. The journal has established itself in the panorama of scientific nursing research in Spain and shows bibliometric indicators similar or even superior to other publications in its environment.
Assuntos
Pesquisa em Enfermagem , Publicações , Humanos , Bibliometria , Espanha , Instalações de SaúdeRESUMO
BACKGROUND: Appropriate decontamination of breast pump milk collection kits (BPKs) is critical to obtain safe milk for infants and to avoid discarding donor human milk (DHM). AIM: To evaluate two strategies for BPK decontamination by assessing microbial cultures and the proportion of discarded DHM, according to the criteria of the National Institute for Health and Care Excellence for pre-pasteurization cultures. METHODS: Prospective comparative study, allocation ratio 1:1, microbiologist-blind. PARTICIPANTS: 47 new donors in a human milk bank in Madrid. INTERVENTIONS: Study group (N=21): BPKs washed with water and detergent after each use and further steam decontamination within a microwavable bag. Control group (N=26): washing, rinsing and drying only. Five samples: first sample by hand expression and four samples (one per week) collected using the same pump and method. OUTCOMES: Primary: proportion of DHM discarded due to contamination. Secondary: comparison of the microbiota between samples obtained by hand expression and breast pump in both groups. FINDINGS: In total, 217 milk samples were collected: 47 by hand expression and 170 by pump expression (78 from study group). Steam decontamination of BPKs using a microwavable bag after washing resulted in a lower proportion of discarded DHM samples (1.3% vs 18.5%, P<0.001) and samples contaminated with Enterobacteriaceae (1.3% vs 22.8%, P<0.001) and Candida spp. (1.3% vs 14.1%, P<0.05) compared with samples collected with BPKs that were washed but not steam decontaminated. There were no differences in bacterial contamination between samples obtained using steam decontaminated BPKs and those obtained by hand expression. CONCLUSIONS: Steam decontamination of BPKs using a microwavable bag after washing decreases the amount of discarded DHM and the number of samples with potentially pathogenic bacteria.
