Review Article

An educational strategy for the implementation of a delirium assessment tool

Abstract

Background: Delirium is an acute syndrome of organ dysfunction with long-term consequences which commonly occurs in the Intensive Care Unit (ICU). The incidence of delirium ranges from 30% - 50% in low severity ICU patients and up to 80% in mechanically vent...

Research Article

Pathogen identification and control of sooty spot caused by Cladosporium ramotenellum, appearing on fresh easy peeler mandarins from Perú

Abstract

During the 2018 season, superficial dry and firm black spots, where sometimes an aerial mycelium developed, appeared on the rind of easy peeler mandarins causing high economic losses in fresh citrus exports from Perú. In this work, we have identif...

Clinical Image

58-year-old male patient who came to the dermatology service for a clinical picture

58-year-old male patient who came to the dermatology service for a clinical picture consisting of generalized erythematous scaly and pruritic lesions of 2 years of evolution. The clinical judgments provided were: pityriasis versicolor, drop psoriasis, pityriasis rubra pilaris and secondary ...

Research Article

Usefulness of salivary cortisol as a marker of secondary adrenal insufficiency in paediatric patients

Abstract

Background: The main cause of adrenal insufficiency (AI) in paediatric patients is prolonged treatment with corticosteroids. Determination of plasma cortisol (PC) during ACTH test is the most used adrenal function indicator in clinical practice. However, det...

Research Article

Suicide, the main cause of referral of patients from a general hospital for psychiatric evaluation

Abstract

Introduction: Psychiatric emergencies constitute between 1% - 10% of general emergencies in Spain, of which a quarter will end up being hospital admissions. There is little literature on patients who are referred from general to specialized hospitals.

Research Article

Ambivalent sexist attitudes of young adolescents from the province of Jaén: Regarding the use of sexual and/or pornographic content on the internet

Abstract

Knowing the possible origin of sexist attitudes in adolescents is essential when educating them to avoid gender violence derived from them. Nurses have an important role in education for the health of children and adolescents, so we must study the risk facto...

Letter to the Editor

Why? It is the question that I ask myself every day, every hour, every second...

It is the dart that penetrates deep into my soul, every time I see with my own eyes how the incidence of cancer has grown in recent years.

Research Article

Abdominal obesity in predicting myocardial infarction risk. Waist-to-Hip Ratio: The metric that confused cardiology worldwide for a long time

Important differences has been found in assessing the effects of obesity on cardiovascular disease (CVD) risk [1]. Interestingly, accurate estimation of the body composition (BC) is highly relevant from a public health perspective [2], and it has the importance of being essential in establi...

Letter to the Editor

Criteria for paediatric oral liquid form

Paediatric hospitals frequently have to face the lack of commercially available medicines suitable or even licensed for their use in paediatrics. Thus, only one-third of all medicines approved by the European Medicines Agency over the period of 1995 to 2005 were licensed for use in children...

Letter to the Editor

Alone in the face of adversity

From my desk I could be watching the wind blow or the horses running. Practicing Medicine in a rural setting has these advantages: from time to time you can take the time to admire the beauty that surrounds you in the form of an obligatory pause within a marathon working day, and rest helps...

Research Article

Psychotropic drugs prescription block the positive effects of the doctor-patient communication and relationship

Abstract

The fact that general practitioner (GP) or psychiatrist understands the psychosocial effects of prescribing on the doctor-patient relationship is as important, if not more so, than knowing pharmacology. Any prescription of drugs modifies the doctor-patient r...

Case Report

Recurrent hydrothorax due to diaphragmatic perforation post hepatocellular carcinoma radiofrequency ablation: A case report

Abstract

Radiofrequency ablation is one of the most commonly used therapies for potentially curative small hepatocellular carcinoma. Although radiofrequency is usually a safe procedure, severe and potentially fatal complications can happen. This is a case of a 72 yea...

Case Report

Limb ischemia after coil migration used for a hypogastric aneurysm embolization

Summary

Hypogastric artery aneurysms are an uncommon entity. When the diameter achieves > 30-35 mm, they should be treated. Endovascular repair may be considered as first line therapy. One therapeutic option for internal iliac artery aneurysm exclusion is its ...

Case Report

Maculopapular delayed exanthema due to ranitidine

Abstract

Ranitidine is a widely used drug in Europe and its intake is usually well tolerated. Hypersensitivity reactions due to ranitidine are uncommon. The immediate mild reactions type are the most prevalent. In some special cases a delayed type reaction such as co...

Research Article

4-year recurrence risk factors after tension-free vaginal tape-obturator as a treatment of stress urinary incontinence

Abstract

Objectives: Tension-free vaginal tapes are the gold standard of the surgical treatment of stress urinary incontinence (SUI); however, long-term recurrence of SUI after this surgery has been a matter of problem. Here, we attempted to determine the incidence o...

Research Article

Anti COVID-19 immunity developed as assessed in a community-based oncological center

Abstract

Introduction: Serology (antibody) tests for the SARS-CoV-2 have been proposed as an instrument to inform health authorities about immunization during the COVID-19 pandemic. As there is a significant part of the population that may have some degree of immunit...

Research Article

Premaxillary osteotomy in children with bilateral cleft lip and palate: Skeletal and dental changes

Abstract

Purpose: To evaluate changes in children with bilateral cleft lip and palate (BCLP) who premaxillary osteotomy and secondary alveolar bone grafting as compared to children with BCLP who are not indicated for surgery, and to deter...

Review Article

Obesity Surgery in Spain

Overview

Obesity or bariatric surgery, from the Greek bari = weight and iatrein = cure) treats obesity and began in Spain in 1972. Its greatest development occurs after the foundation of SECO (Spanish Society of Obesity Surgery) in 1997. The purpose of this work is t...

Review Article

Implications on mental health by the coronavirus disease 2019 (COVID-19) pandemic: The role of general practitioner

Abstract

Coronavirus disease 2019 (COVID-19) pandemic gives rise to a significant number of psychological consequences and health problems. The GP must recognize the feelings generated in their patients and address them. This task includes 4 areas: 1. Knowing and man...

Research Article

Recurrence of atrial fibrillation after pulmonary vein isolation, should we change the energy and technique?

Abstract

Background: Pulmonary vein isolation (PVI) is the accepted standard nowadays for atrial fibrillation (AF) ablation. The most widespread ablation techniques are cryoballoon (CB) and point-by-point radiofrequency (RF) ablation. Com...

Review Article

Psychological phenomena in the doctor- Elderly patient relationship

Abstract

The doctor-patient communication and the aging of the patients attended by the general practitioner are two important concepts that constantly impact medical consultations. This article raises some reflections and conceptualizations about the main psychologica...

Review Article

Transference and countertransference are linked to placebo-nocebo effects and they are an auxiliary resource of unparalleled value in general medicine: Recommendations for general practitioners

Abstract

Psychological phenomena of the doctor-patient relationship influence the therapeutic process. Among these phenomena are the transference (the emotions of the patient towards the doctor), and the countertransference (the emotional reactions of the doctor towa...

Research Article

Effect of hemodialysis session on acute changes in inflammatory and cardiovascular risk biomarkers

Abstract

Background: Inflammation is associated with enhanced cardiovascular risk profile and increased cardiovascular mortality in end-stage kidney disease patients undergoing hemodialysis. Mechanisms of activated acute phase reaction in...

Research Article

Beginnings of bariatric and metabolic surgery in Spain

Overview

Bariatric Surgery (BS) from the Greek bari = weight and iatrein = cure) treats obesity and began in Spain in 1973. Its greatest development occurs after the founding of SECO (Spanish Society of Obesity Surgery) in 1997. The purpose of this work is to reflect...

Research Article

Anthropometric characteristics and somatotype of professional soccer players by position

Abstract

The anthropometric characteristics are decisive for an optimal physical level and, therefore, a good level in the game; and they can be different depending on the game position.

The aim of this study was to identify the physical charact...

Research Article

Gynaecological malignancies after breast cancer diagnosis: A population-based study

Abstract

Background: Breast cancer (BC) is one of the most prevalent malignancies. BC survivors have higher risk of second primary cancers than the general population. There is an increased interest in BC survivor management, including th...

Case Report

Intestinal malrotation presenting with midgut volvulus in an adult

A 36-year-old man without previous medical history presented to the emergency department with abdominal pain and vomiting of acute onset. His vital signs were stable and he had no fever. Abdominal exploration revealed distention with pain at palpation. Laboratory tests were normal. Abdominal X...

Case Report

Scintigraphic non-invasive diagnosis of amyloid cardiomyopathy

Introduction

Amyloidosis encompasses a heterogeneous group of disorders, characterized by extracellular deposition of insoluble abnormal amyloid aggregates, due to a failure in protein quality control. Cardiac amyloidosis is a disorder in which proteins misfold and d...

Research Article

Prognostic implications of vitamin D deficiency in chronic kidney disease

Abstract

Chronic kidney disease (CKD) is a highly prevalent disease, imposing high mortality rates worldwide, and it is closely related to cardiovascular events. Vitamin D deficiency is very prevalent in patients with CKD from the earliest stages of the disease, and ...

Review Article

Renal function during exercise and recovery

Abstract

This review paper analyzes the response of renal function during two types of exercise: 1) exercise of increasing intensity and 2) exercise of submaximal intensity and prolonged duration. During an effort of increasing intensity there is a decrease in renal ...

Case Report

McArdle’s Disease (Glycogen Storage Disease type V): A Clinical Case

Resume

McArdle’s Disease, or Glycogen Storage Disease Type V, is the result of a deficiency in one of the enzymes responsible for the metabolism of glycogen in the body. Individuals with this disease, lack or produce very small concentrations of the myophos...

Opinion

Medical bioethics vs. Medical ethics*

Opinion

The current situation of bioethics illustrates what has become known as “the anthropological halt”, described with great lucidity by C. S. Lewis in his book The Abolition of Man as the neglect of the “Tao”, a not very e...

Case Report

Meige Trofoedema: A form of primary lymphedema

Abstract

The lymphatic system consists of small non-contractile lymph vessels which collect fluid from the interstitial space and carry it to the major contractile lymphatic vessels with valves that maintain a unidirectional flow to the lymph nodes and is responsible...

Research Article

Differences between traditional Visualization and Virtual reality on motor performance in novel climbers

Abstract

This paper analyses the effect of virtual reality visualization (VRV) on climbers, with respect to the traditional visualization methodology. The study sample was made up of 21 novel climbers: Control Group CG (N=7), Traditional Visualization Group TVG (N=7)...

Research Article

Analysis of Pyogenic Liver Abscesses

Abstract

Background: Pyogenic liver abscesses (PLA) are frequent in immunosuppressed patients. We review the characteristics of patients with PLA at a tertiary academic Spanish hospital in Asturias.

Met...

Research Article

The effect of cognitive strategies of association and dissociation on central nervous activation: A controlled trial with long distance runners

Summary

The purpose of the present study was to experimentally assess the effect of cognitive strategies of association and dissociation while running on central nervous activation. A total of 30 long distance runners volunteered for the study. The study protocol con...

Case Report

Avoiding confusion in high flow oxygen therapy concepts

Case Report

Oxygen therapy is the main supportive treatment in hypoxemic respiratory failure and has traditionally been delivered using low and high flow devices. However, the maximal flow rates that these devices can deliver are limited because of the insufficient h...

Case Report

Intestinal obstruction complicated by large Morgagni hernia

Abstract

Morgagni hernia represents 2-4% of congenital diaphragmatic hernias. Only one-third of them are symptomatic, due to the hernia of abdominal viscera in the thoracic cavity, causing respiratory and digestive problems, some of them serious ones, such as intesti...

Case Report

Tumours of the Uterine Corpus: A Histopathological and Prognostic Evaluation Preliminary of 429 Patients

ABSTRACT

A histopathological review preliminary of 429 patients diagnosed with tumours of the uterine corpus (TUC) cancer between 1984- 2010 in the Vigo University Hospital Complex (Spain) were evaluated prospectively for over 5 years. Of these 403 (93.9%) were epith...

Case Report

Atopic Conjunctivitis in Children: Influence of Treatment with Topical Cyclosporin 0.05% in the Quality of Life

ABSTRACT

Introduction: Forty-six per cent children have allergic rhinoconjunctivitis (Allergologica 2005).

Working hypothesis: Ocular topical cyclosporine improves the quality of life for...