RESUMO
Se presentan 2 casos, separados por un intervalo de más de 2500 años, de Enfermedad de Forestier - Rotés-Querol, uno de ellos procedentes de un enterramiento de la Atenas de Pericles y el otro actual para ejemplificar su presencia continua en la historia de la patología humana. Se realiza una sucinta revisión histórica sobre su separación de las espondilopatías inflamatorias anquilosantes, se revisan sus posibles manifestaciones clínicas y radiológicas y se menciona su importante papel en el desarrollo de la última película de Pedro Almodóvar, Dolor y Gloria
We present two cases of Forestier-Rotés-Querol disease, separated by an interval of more than 2500 years, one of them coming from a burial in the Athens of Pericles and the other from the present. This exemplify its continuous presence in the history of human pathology. A brief historical review of their separation from ankylosing inflammatory spondylopathies is carried out their possible clinical and radiological manifestations are reviewed, and it is mentioned an important role in the development of the latest film by Pedro Almodóvar, Dolor y Gloria
Assuntos
Humanos , Masculino , Idoso , Hiperostose Esquelética Difusa Idiopática/complicações , Espondilite Anquilosante/diagnóstico , Estenose Esofágica/etiologia , Transtornos de Deglutição/etiologia , Hiperostose Esquelética Difusa Idiopática/epidemiologia , Hiperostose Esquelética Difusa Idiopática/história , Espondilite Anquilosante/história , Diagnóstico Diferencial , Rigidez Muscular/etiologia , Filmes Cinematográficos , ArqueologiaRESUMO
Despite the potential benefits of outpatient care, most patients with pulmonary embolisms are treated in hospitals for fear of possible adverse events. However, there is a wealth of scientific evidence from studies covering more than 4000 outpatients, which has led the current clinical practice guidelines to recommend early discharge or outpatient treatment when a low risk of death or complications has been confirmed, when there are no comorbidities or aggravating processes present to warrant hospitalisation and when appropriate monitoring and treatment are observed. This approach minimises the complications that can arise in hospitals and represents considerable cost savings. When selecting these patients, the use of prognostic tools such as the Pulmonary Embolism Severity Index (PESI), its simplified version (sPESI) and the Hestia Criteria are of paramount importance. Using these tools, the short-term outcomes (30-90days) show low mortality (in general <3%) and a low incidence of other complications (rate of recurrence and major bleeding <2%). Based on the available evidence, outpatient treatment can be considered the most appropriate strategy at this time for most hemodynamically stable patients with pulmonary embolisms.
RESUMO
No disponible
Assuntos
Humanos , Alcoolismo/mortalidade , Consumo de Bebidas Alcoólicas/efeitos adversos , Transtornos Relacionados ao Uso de Álcool/mortalidade , Coleta de Dados/métodosRESUMO
No disponible
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Consumo de Bebidas Alcoólicas/efeitos adversos , Alcoolismo/mortalidade , Transtornos Induzidos por Álcool/mortalidade , Registros de Mortalidade/estatística & dados numéricos , Espanha/epidemiologiaAssuntos
Humanos , Masculino , Feminino , Medicina Interna/métodos , Medicina Interna/normas , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/normas , Atenção Primária à Saúde , Administração de Serviços de Saúde/ética , Administração de Serviços de Saúde/história , Administração de Serviços de Saúde , Serviços de Saúde/normas , Serviços de Saúde/tendências , Serviços de SaúdeRESUMO
Se analizan los datos patobiográficos de 4 geniales artistas del siglo xx −Modigliani, Matisse, Portinari y Rebeca Horn− que vieron truncadas sus carreras artísticas en algún momento debido a enfermedades profesionales ocasionadas por los materiales que utilizaban. En el caso de Matisse, por manipulación debido a su propio temperamento de las cicatrices de una intervención quirúrgica. Sin embargo, lucharon contra tal contratiempo y su superación les permitió hallar nuevas vías de expresión artística para encauzar su creatividad(AU)
The patobiographic data of 4 great xx century artists −Modigliani, Matisse, Portinari and Rebecca Horn− are reviewed. Their artistic careers were cut short at some moment due to the professional diseases they suffered in relation with the materials used in their works. In the case of Matisse, this was due to his own temperament by manipulation of the scars from surgery. However, they fought against such impediments and when they overcame them, they were able to find new ways of artistic expression to channel their creativity(AU)
Assuntos
Humanos , Masculino , Feminino , História do Século XVIII , História do Século XIX , História do Século XX , Doenças Profissionais/epidemiologia , Doenças Profissionais/história , Medicina nas Artes , Dor/epidemiologia , Dor/história , Transtornos Mentais/complicações , Transtornos Mentais/história , Doenças Respiratórias/complicações , Doenças Respiratórias/história , Endocardite/complicações , Endocardite/históriaRESUMO
AIM: Cardiac rhythm alterations are a frequent cause of hospital admission. However, we do not know their characteristics and economic costs. We have analyzed the epidemiology and cost of hospitalizations due to cardiac arrhythmias in the National Health System. METHODS: The characteristics and costs were reviewed in patients admitted with a principal diagnosis of cardiac arrhythmia (1997-2010;diagnosis related groups [DRG] -138 and 139 of the National Health System minimum data base set). Atrial fibrillation/flutter accounted for 65% of these DRGs. The secondary diagnoses prevalent in such DRGs were also reviewed. RESULTS: Hospitalizations due to cardiac arrhythmias were approximately 26.000 per year and close to 1.6% for mortality. In 2010 there were 26.421 hospitalizations with an estimated cost of 65 million Euros. Frequent comorbidities were recorded, such as hypertension (43%), heart failure (12%) or diabetes mellitus (20%). A total of 43% were admitted to cardiology and 36% to internal medicine. CONCLUSIONS: During the period 1997-2010, there was a significant annual number of hospitalizations for cardiac arrhythmias (mainly atrial fibrillation), with measurable costs, in Spain. More than one third were attended by internists.
Assuntos
Arritmias Cardíacas/economia , Admissão do Paciente/economia , Adolescente , Adulto , Idoso , Arritmias Cardíacas/epidemiologia , Arritmias Cardíacas/terapia , Custos e Análise de Custo , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Admissão do Paciente/estatística & dados numéricos , Espanha , Adulto JovemRESUMO
The patobiographic data of 4 great xx century artists - Modigliani, Matisse, Portinari and Rebecca Horn - are reviewed. Their artistic careers were cut short at some moment due to the professional diseases they suffered in relation with the materials used in their works. In the case of Matisse, this was due to his own temperament by manipulation of the scars from surgery. However, they fought against such impediments and when they overcame them, they were able to find new ways of artistic expression to channel their creativity.
Assuntos
Arte , Doença , Brasil , França , Alemanha , História do Século XIX , História do Século XX , ItáliaAssuntos
Humanos , Masculino , Feminino , Medicina Interna/métodos , Pesquisa/métodos , Tromboembolia/epidemiologia , Tromboembolia/prevenção & controle , Tromboembolia Venosa/epidemiologia , Tromboembolia Venosa/prevenção & controle , Pesquisa/normas , Bibliometria , Pesquisa/estatística & dados numéricos , Pesquisa/tendênciasRESUMO
No disponible
Assuntos
Humanos , Masculino , Feminino , Insuficiência Cardíaca/epidemiologia , Congressos como Assunto/tendências , Congressos como Assunto , Pesquisa Biomédica/educação , Pesquisa Biomédica/organização & administração , Sistemas Nacionais de Saúde , Medicina Interna/educação , Medicina Interna/organização & administração , Medicina Interna/tendências , Pesquisa Biomédica/métodos , Pesquisa Biomédica/tendênciasRESUMO
Stroke is a terrible disease conditioning in an important manner the lives of patients. Recovery is, often, very laborious. The cases of six well-known artists who suffered it are presented and also their efforts to defeat it. Patobiographic data of the painters C.F. Friedrich, L. Krasner and C. Close, poet and artist G. Apollinaire, the film director and cartoonist F. Fellini and actor K. Douglas are discussed. The vital changes introduced by a such process, the strength to recover and the post-stroke artwork production are commented. The artists' premorbid personality influenced notably the recovery. These artists faced to the disease and with their masterpieces also bequeathed to the posterity their examples of courage.