A5084850323- Aging, Health, and Disability
- Ethics and bioethics in healthcare
- Acute Ischemic Stroke Management
- Chronic Disease Management Strategies
- Comparative constitutional jurisprudence studies
- Social Sciences and Policies
- Cardiac Arrest and Resuscitation
- Health and Lifestyle Studies
- Gender, Health, and Social Inequality
- Genomics and Rare Diseases
- Blood Pressure and Hypertension Studies
- Global Cancer Incidence and Screening
- Healthcare Systems and Technology
- Emergency and Acute Care Studies
- Venous Thromboembolism Diagnosis and Management
- Heart Rate Variability and Autonomic Control
- Gender, Violence, Rights in Latin America
- Comparative International Legal Studies
- Medicine and Dermatology Studies History
- Pneumonia and Respiratory Infections
- Health and Medical Education
- Myasthenia Gravis and Thymoma
- Healthcare Policy and Management
- Dialysis and Renal Disease Management
- HIV-related health complications and treatments
Gobierno de La Rioja
2009-2023
Hospital San Pedro
2019
Universidad de La Rioja
1998-2017
Regional Health
2013-2017
Hospital Universitario Ramón y Cajal
2016
Navarrabiomed
2016
Hospital Universitario La Paz
2016
Logrotex (Spain)
2014
Hospital Clínico Universitario de Valladolid
2009
Centro de Alta Resolución San Millán
2003
Abstract Background Rare diseases are a priority objective for public health systems. Given its complexity, late and misdiagnoses occur very often which causes mental physical burden patients family. This would be caused, in part, unprepared clinicians this field. The aim of study was to report the training needs perceived shortcomings Spanish physicians system diagnosis, treatment monitoring with rare diseases. Methods We used descriptive cross-sectional through an “ad hoc” survey 26...
The assessment of cancer survival at the population level is essential for monitoring progress in control. We aimed to assess and its trends adults Spain. Individual records 601,250 with primary diagnosed during 2002–2013 followed up 2015 were included from 13 population-based registries. estimated net five years after diagnosis analyzed absolute changes between 2002–2007 2008–2013. Estimates age-standardized. Analyses performed 29 groups, by age sex. Overall, age-standardized five-year was...
Rhabdomyolysis (RB) is a syndrome characterised by decomposition of skeletal muscle that could be life threatening, so the identification biomarkers its severity help us in treatment. Creatine kinase (CK) usually taken as reference patients with RB order to stratify prognosis, however not probably most effective parameter.The present study was designed analyse specific features and mortality relation between creatinine, CK mortality.Retrospective cohort analysis among admitted San Pedro...
Abstract Rationale, aims and objectives The debate about whether to dedicate funds rare diseases ( RD ) may hinge on the existence of a societal preference for prioritizing rarity. There are scarce studies interest doctors general society in . Method Four groups future health non‐health professionals were surveyed region S pain evaluate their opinion Questions study organized into four groups: knowledge , prioritization research willingness assign resources real distribution Results A total...
Background Patients with HIV infection suffer from accelerated aging. In this context, frailty could be a relevant problem that aggravates the quality of life (QoL) and morbi-mortality these patients. Our objective was to determine prevalence pre-frailty in HIV-infected patients our cohort as well their risk factors QoL. Methods This prospective cross-sectional study people aged ≥18 years on stable antiretroviral regimen (ART) ≥1 year. Frailty defined by ≥3 5 Fried's criteria: weight loss,...
Abstract Objective We describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain. Design Descriptive epidemiology. Setting Private practice. Patients or other participants Case subjects were customers a single beauty salon who treated injections. Intervention(s) Two skin biopsies taken from each patient. Results Over the designated period, 138 women received mesotherapy. Of these women, 39, 28.3%, developed lesions ultimately thought...
Primarily, to determine the association between clinical severity of primary varicose veins and different reflux patterns in an anatomic haemodynamic study using duplex ultrasonography (DU). Secondly, analyse with other aspects, such as risk factors for chronic venous insufficiency (CVI) concurrent diseases.A total 2036 limbs were evaluated DU. Clinical status was characterized by CEAP (clinical, aetiological, anatomical pathological elements) classification. The degree grouped into two...
Background Incidence and mortality of systemic lupus erythematosus (SLE) seem to be increasing in the last few decades, contrast survival rate that has improved over time. The objective this study was examine trends SLE Spain a 30-year period (1981–2010). Methods Data on deaths were drawn from National Statistics Institute Spain. Crude overall age-standardized rates calculated joinpoint regression models used describe trend changes. Mean age by each year also assessed. Results 1.82 per...
Hospital administrative data have been suggested as a valuable cost-effective tool for providing information about the stroke burden. Nevertheless, choice of diagnosis codes has critical issue in development case ascertainment algorithms.In this study, Minimum Basic Data Set database was used to analyze accuracy different ICD-9-CM algorithms based on neurologist's clinical judgement 'gold standard'.The most accurate algorithm observed our study involved selection 430-438 primary diagnosis....
The aim of the study was estimate prevalence potentially inappropriate prescribing (PIP) and drug related problems (DRP) in an acute geriatric ward, to evaluate impact pharmaceutical intervention on their prevalence.Quasi-experimental, interventional polymedicated patients (= 6 drugs) who were admitted a Geriatric ward 2018-2019. PIP analyzed according STOPP/START 2014 criteria DRP Third Consensus Granada. detected, possible actions correct them, sent physician charge. effect at hospital...
Neoadjuvant chemoradiotherapy (CRT) is one of the standards care in locally advanced rectal cancer (LARC). This retrospective study examines clinical, analytical, and pathological parameters collected from 77 patients with (cT3-4 or cN+) carcinoma diagnosed between 2007 2017 at our institution that were treated preoperative CRT surgery. In prognosis analysis, lower hemoglobin levels (p = 0.008), lymphocyte/monocyte ratio (LMR) 0.011), higher platelet/lymphocyte (PLR) 0.029) second...
Fundamento: En el caso de las enfermedades raras existen dificultades para utilizar herramientas como los registros enfermedades. El objetivo este trabajo es describir la situación sobre en España. Métodos: Se utiliza información proporcionada por dos directorios sanitarios españoles elaborados Agencia Española Evaluación Tecnologías Sanitarias, realizando un estudio descriptivo transversal. Los identificados estos se han clasificado como: 1) «Específicos raras», 2) «No específicos pero con...
The aim of this study was to determine the impact orthostatic hypotension (OH) and hypertension (OHT) on all-cause mortality.A total of, 1176 adults from community over 18 years age were included in ambispective study. mean follow-up 9.4 years. OH OHT defined as a decrease or an increase, respectively, systolic blood pressure (BP) at least 20 mmHg and/or diastolic BP 10 sitting standing position 1 3 min after standing. also analyzed separately.In total, 135 individuals died during follow-up....
Stroke remains an important health challenge. Here, we study whether circulating chemokine (C-C motif) ligand 5 (CCL5) levels may predict clinical outcomes for stroke patients. A total of 100 consecutive patients (36 acute ischemic and 64 hemorrhagic) were admitted to the unit. Clinical history data monitoring parameters recorded. Blood serum was collected at days 0, 1, hospital discharge measure CCL5 by ELISA. Infarct or hemorrhagic volume, neurological severity (NIHSS), functional...
This paper describes a measles outbreak in La Rioja, Spain, which began December 2005 and mainly affected children under 15 months of age who were not yet immunised with MMR vaccine. The cases detected by the mandatory reporting system, laboratories must report every confirmed case. Cases classified accordance National Measles Elimination Plan: suspected laboratory-confirmed. In period 14 to 19 February 2006, 29 investigated, 18 confirmed. mean incubation was 13.8 days (range: 9 18). Of...