Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 232
Filtrar
1.
Endocrinol. diabetes nutr. (Ed. impr.) ; 66(10): 654-662, dic. 2019.
Artigo em Espanhol | IBECS | ID: ibc-184793

RESUMO

Las enfermedades endocrinas están experimentando un importante incremento de su prevalencia, debido a causas de diversa índole, entre ellas la epidemia de obesidad y de desnutrición, el envejecimiento de la población, pero también el efecto de los disruptores endocrinos, entre otros. Por otra parte, las nuevas tecnologías, tanto a nivel de analítica molecular y genética, de imagen y de nuevos dispositivos terapéuticos, obligan a que la comunidad profesional endocrina en España tenga que estar en constante formación. La conexión con los pacientes a través de sus asociaciones, cada vez más activas, y con la sociedad civil en general, el compromiso profesional y la demanda de diversos colectivos sociales de una atención moderna y equitativa, y a llevar a cabo investigación que facilite la consecución de avances para los pacientes, obligan al especialista en Endocrinología y Nutrición, y a la Sociedad Española de Endocrinología y Nutrición (SEEN), a posicionarse y dar respuesta a todos estos retos. En el presente documento, la SEEN expone sus propuestas y su estrategia hasta el 2022


Endocrine diseases are experiencing an important increase in their prevalence, due to causes of various kinds, including the epidemic of obesity and malnutrition, the aging of the population, but also the effect of endocrine disruptors, among others. On the other hand, new technologies, both in terms of molecular and genetic analysis, image and new therapeutic devices, require that the endocrine professional community in Spain must be in constant training. The connection with patients through their associations, increasingly active, and with the civil society in general, the professional commitment and demand of various social groups for a modern and equitable care, and to carry out research that facilitates the achievement of advances for patients, forces the specialist in endocrinology and nutrition and the Spanish Society of Endocrinology and Nutrition (SEEN) to position themselves and respond to all these challenges. In this document, the SEEN presents its proposals and its strategy until 2022


Assuntos
Endocrinologia/organização & administração , Sociedades Médicas/organização & administração , Sociedades Médicas/tendências , Estratégias , Endocrinologia/tendências , Sistemas Nacionais de Saúde , Medicina/organização & administração , Promoção da Saúde , Espanha
2.
Diabetes Res Clin Pract ; 152: 65-70, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31063850

RESUMO

AIMS: The epidemiology for diabetic retinopathy (DR) has been well described in the western population. Countries in Sub-Saharan Africa have attempted to identify the prevalence of diabetic eye disease, however, there still remains a degree of paucity across the continent due to inadequacy in health system organisations and resource poor settings. We aimed to identify the severity and prevalence of DR and maculopathy of patients attending the diabetes clinic at Mulago Hospital, Kampala, Uganda. METHODS: A cross-sectional observational study of 44 patients who attended a diabetes clinic at Mulago Hospital in April 2016. Parameters measured included visual acuity (VA) using a Snellen chart, blood glucose (mmol/l) and blood pressure (mmHg). Screening for DR grading was carried out with indirect fundoscopy and retinal photograph. Only the highest graded eye of retinopathy of each patient was included. RESULTS: A total of 41 eyes from 41 patients were included. Of these patients 15 were male. The average age of patients was 50.4 years. Six eyes (14.6%) had a VA < 6/18. Prevalence of DR was 19.5% (8 eyes) and 14.6% (6 eyes) had maculopathy. Of all eyes 14.6% had sight-threatening retinopathy, which was 85.7% of total cases of retinopathy in our study. CONCLUSIONS: We observed a high prevalence of DR and maculopathy, particularly sight threatening retinopathy, considering the proportion of patients screened. There is a need for a co-ordinated diabetes screening service through integration of the diabetes clinic and eye clinic at Mulago Hospital to better identify and treat this sight-threatening condition.


Assuntos
Retinopatia Diabética/epidemiologia , Retinopatia Diabética/patologia , Adulto , Instituições de Assistência Ambulatorial , Glicemia/metabolismo , Estudos Transversais , Retinopatia Diabética/sangue , Retinopatia Diabética/diagnóstico , Endocrinologia/organização & administração , Feminino , Hospitais Especializados , Humanos , Masculino , Programas de Rastreamento , Pessoa de Meia-Idade , Oftalmoscopia , Prevalência , Índice de Gravidade de Doença , Uganda/epidemiologia , Acuidade Visual/fisiologia
4.
Endocrinol. diabetes nutr. (Ed. impr.) ; 66(5): 291-296, mayo 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-182803

RESUMO

Introducción: En España, la elección de la especialidad se realiza vía examen médico interno residente (MIR). El número de elección de plaza MIR puede reflejar el interés por una especialidad. El objetivo del estudio es corroborar el aumento del número de elección y analizar los posibles factores influyentes a la hora de elegirla. Material y método: Analizar la evolución del número de orden con el que se elige nuestra especialidad y compararla con otras especialidades afines, así como las preferencias a la hora de elegirla realizando una encuesta anónima a 108 MIR de Endocrinología. Resultados: El número medio de elección ha ido aumentando progresivamente hasta llegar el último año al número 2336, esta tendencia coincide con un aumento en el número de plazas ofertadas, aunque es más marcada que en otras especialidades médicas relacionadas. En la encuesta se evaluaron diferentes factores influyentes a la hora de elegir especialidad. También se preguntó sobre los aspectos considerados más positivos y negativos de la especialidad. Se consideró como más positivo que sea tranquila y el más negativo, la escasez de técnicas. A la pregunta de si la especialidad había cumplido sus expectativas se dio una puntuación de 8,7 sobre 10, aunque la percepción del prestigio de la especialidad se puntuó solo con 6,7 puntos. Conclusiones: Hay un deterioro evidente del número de elección de nuestra especialidad que no es tan marcado en el resto ramas médicas relacionadas


Introduction: In Spain, the system used to select a medical specialty is the MIR (internal resident physician) exam. The MIR selection number may reflect the interest in a given specialty. Our study objective was to confirm the increase in the selection number and to analyze possible factors influencing the decision. Material and method: To analyze change over time in the MIR number with which this specialty is chosen and to compare it with other related specialties, as well as the reasons why it is preferred using an anonymous survey to 108 MIRs of endocrinology. Results: The average number of MIR for Endocrinology and Nutrition has gradually increased to 2336 in year 2018, a trend that coincides with an increase in the number of places offered but is more marked as compared to other medical specialties. Respondents weighed different factors when choosing specialty. When asked about the most positive aspects of the specialty, the highest rated was that day to day activity was "less intense". The most commonly mentioned negative aspect was the low number of techniques. When asked if the specialty had met their expectations, respondents gave an average score of 8.7, although the perceived prestige of the specialty scored only 6.7 points. Conclusions: There is an obvious deterioration of the MIR selection number of our specialty that it is not so marked in other specialties


Assuntos
Humanos , Escolha da Profissão , Endocrinologia/educação , Educação Médica , Internato e Residência/estatística & dados numéricos , Endocrinologia/organização & administração , Testes Anônimos/estatística & dados numéricos , Estudos Retrospectivos
7.
Diabetes Care ; 42(3): 352-358, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30787058

RESUMO

This address was delivered by Felicia Hill-Briggs, PhD, ABPP, President, Health Care & Education of the American Diabetes Association (ADA) at the ADA's 78th Scientific Sessions in Orlando, FL, on 23 June 2018. Diabetes has become a high-priority condition in the current era of health care transformation due to diabetes and prediabetes prevalence rates, suboptimal diabetes outcomes at the health care system and population levels, and high health care and public health costs attributed to diabetes. Population health is the path forward for the ADA to facilitate diabetes health care and public health improvement nationally. Population health management initiatives underway at the ADA include Diabetes INSIDE for health care systems and a Mental Health Provider Training Program and referral directory. Population health improvement initiatives include the prediabetes Risk Test Campaign, National Diabetes Prevention Program (DPP) dissemination in underserved states and populations, a DPP Express information technology platform, and a social determinants of health scientific review and recommendations. Dr. Hill-Briggs is a professor of medicine; physical medicine and rehabilitation; health, behavior, and society; and acute and chronic care at Johns Hopkins University in Baltimore, MD. She is a core faculty member of the Welch Center for Prevention, Epidemiology & Clinical Research and colead of behavioral, social, and systems science for the Johns Hopkins Institute for Clinical and Translational Research. Dr. Hill-Briggs has been elected to the National Academy of Medicine of The National Academies of Science, Engineering, and Medicine and is the 2018 recipient of the Rachmiel Levine Medal for Leadership from the ADA.


Assuntos
Diabetes Mellitus , Endocrinologia , Administração em Saúde Pública/tendências , Qualidade da Assistência à Saúde/tendências , Sociedades Médicas , Distinções e Prêmios , Pesquisa Biomédica/organização & administração , Pesquisa Biomédica/normas , Pesquisa Biomédica/tendências , Diabetes Mellitus/epidemiologia , Diabetes Mellitus/prevenção & controle , Endocrinologia/métodos , Endocrinologia/organização & administração , Endocrinologia/tendências , Humanos , Estado Pré-Diabético/diagnóstico , Estado Pré-Diabético/epidemiologia , Estado Pré-Diabético/terapia , Saúde Pública/métodos , Saúde Pública/tendências , Administração em Saúde Pública/normas , Qualidade da Assistência à Saúde/organização & administração , Qualidade da Assistência à Saúde/normas , Sociedades Médicas/organização & administração , Sociedades Médicas/normas , Estados Unidos
10.
Future Oncol ; 14(29): 3059-3072, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30474429

RESUMO

Once unimaginable, fertility management is now a nationally established part of cancer care in institutions, from academic centers to community hospitals to private practices. Over the last two decades, advances in medicine and reproductive science have made it possible for men, women and children to be connected with an oncofertility specialist or offered fertility preservation soon after a cancer diagnosis. The Oncofertility Consortium's National Physicians Cooperative is a large-scale effort to engage physicians across disciplines - oncology, urology, obstetrics and gynecology, reproductive endocrinology, and behavioral health - in clinical and research activities to enable significant progress in providing fertility preservation options to children and adults. Here, we review the structure and function of the National Physicians Cooperative and identify next steps.


Assuntos
Preservação da Fertilidade/métodos , Fertilidade/fisiologia , Colaboração Intersetorial , Neoplasias/fisiopatologia , Médicos/organização & administração , Adulto , Antineoplásicos/efeitos adversos , Medicina do Comportamento/organização & administração , Criança , Progressão da Doença , Endocrinologia/métodos , Endocrinologia/organização & administração , Feminino , Fertilidade/efeitos dos fármacos , Ginecologia/métodos , Ginecologia/organização & administração , Humanos , Oncologia/métodos , Oncologia/organização & administração , Neoplasias/complicações , Neoplasias/patologia , Neoplasias/terapia , Obstetrícia/métodos , Obstetrícia/organização & administração , Guias de Prática Clínica como Assunto , Gravidez , Qualidade de Vida , Medicina Reprodutiva/métodos , Medicina Reprodutiva/organização & administração , Estados Unidos , Urologia/métodos , Urologia/organização & administração
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA