translator

9/2/16

MedPix La base de datos de la National Library of Medicine


A través de este Twit   tenemos conocimiento de esta plataforma de imágenes y casos médicos  de la NLM.

MedPix es una plataforma de imágenes y casos médicos de la National Library of Medicine Contiene más de 53.000 imágenes extraidas de 13.000 casos de pacientes.

"El origen de esta base de datos está en la década de los 90 cuando se empezó a gestar como instrumento de aprendizaje para el estudio radiológico en hospitales militares. Posteriormente se unirían otro tipo de imágenes y otro tipo de hospitales que han  contribuido a ella. En 2001 se incluyeron también las immágenes de educación médica y de formación de enfermería.
Presenta un caso cada semana donde se pueden leer los principales datos y hacer una autoevaluación de los conocimientos
Las características principales de la base de datos son:
  • La gran calidad de las imágenes
  • La clasificación exahustiva por cada una de ellas (órganos, sistema, patología, datos del paciente, especialidad médica o quirurigca, etc)
  • La mayoría de los casos, tanto los comunes como los raros, tiene un diagnóstico confirmado (patología, seguimiento clínico, etc)
  • Los casos enfocados al aprndizaje son revisados por un panel de expertos."  en el @blog Pildoras

13/1/16

Sesión Clínica. UGC Obstetricia y Ginecología. 25 de enero de 2016. BV-SSPA Recursos y Servicios.

 



Sesión Clínica: 
La Biblioteca Virtual del SSPA: Recursos y Servicios para Médicos especialistas en Obstetricia y Ginecología. 
Fecha:
25 de enero de 2016 a las 8 h. 
Lugar:
Unidad de Gestión del Conocimiento. Biblioteca. Planta sótano. Hospital Comarcal de la Axarquía
http://www.bvsspa.es

17/12/15

Tutorial de PubMed para Enfermeras

Disponible Tutorial de PubMed para enfermeras. (Información recibida via lista de distribución de BIB-MED).
Incluye 5 video-tutoriales:

Cada uno de los videos viene acompañado de  preguntas que complementan la formación.

NOTA: Si eres profesional del SSPA para tener los privlegios de acceso a los recursos y servicios de le BVSSPA debes ingresar identificarte con las  claves corporativas desde http://www.bvsspa.es

22/10/15

Publicaciones Axarquía 2015 (Octubre 2015)

  • Acute Effects on the Counts of Innate and Adaptive Immune Response Cells After 1 Month of Taoist Qigong Practice

    Tipo Artículo en revista científica
    Autor Francisca M. Vera
    Autor Juan M. Manzaneque
    Autor Francisco M. Rodríguez
    Autor Rebecca Bendayan
    Autor Nieves Fernández
    Autor Antonio Alonso
    Publicación International Journal of Behavioral Medicine
    ISSN 1532-7558
    Fecha Sep 14, 2015
    Adicional PMID: 26370102
    Abrev. de la revista Int J Behav Med
    DOI 10.1007/s12529-015-9509-8
    Catálogo de biblioteca PubMed
    Idioma ENG
    Resumen BACKGROUND: Qigong is an ancient form of health maintenance, dating back thousands of years, which is part of Traditional Chinese Medicine. Numerous physical as well as mental benefits have been classically ascribed to this traditional mind-body method which integrates slow body movements, breathing, and meditation. Albeit we have already reported an immunomodulatory action of qigong in other investigations, measures were then assessed 1 day after the qigong program ended. PURPOSE: The aim of the present study was to assess the acute effects of Taoist qigong practice on immune cell counts in healthy subjects 1 h after training. METHOD: Forty-three healthy subjects participated in the study of whom 25 were randomly allocated to the experimental group and 18 to the control group. The experimental subjects underwent daily qigong training for 1 month. Blood samples for the quantification of immune parameters (number and percentage of monocytes, neutrophils, eosinophils, total lymphocytes, B lymphocytes, and natural killer (NK) cells) were taken the day before the experiment commenced and 1 h after the last session of the training program ended. As statistical analysis, analysis of covariance (ANCOVA) was performed. RESULTS: Statistically significant differences were found between the experimental and control groups, with the experimental group showing higher values in the number (p = 0.006) and the percentage (p = 0.04) of B lymphocytes, as well as lower values in the percentage of NK cells (p = 0.05), as compared to control. CONCLUSION: This study demonstrates that Taoist qigong is able to exert acute immunomodulatory effects on components of both innate as well as adaptive immune response.
    Fecha de adición 22/10/2015 13:24:00
    Modificado 22/10/2015 13:24:00

    Marcas:

    • Holistic
    • Immune
    • Mind-body
    • Psychosomatic
    • Qigong

    Adjuntos

    • PubMed entry
  • Assessment of long-term cognitive impairment after off-pump coronary-artery bypass grafting and related risk factors

    Tipo Artículo en revista científica
    Autor Luis M. Pérez-Belmonte
    Autor Carlos M. San Román-Terán
    Autor Manuel Jiménez-Navarro
    Autor Miguel A. Barbancho
    Autor José M. García-Alberca
    Autor José P. Lara
    Volumen 16
    Ejemplar 3
    Páginas 263.e9-11
    Publicación Journal of the American Medical Directors Association
    ISSN 1538-9375
    Fecha Mar 2015
    Adicional PMID: 25648462
    Abrev. de la revista J Am Med Dir Assoc
    DOI 10.1016/j.jamda.2014.12.001
    Catálogo de biblioteca PubMed
    Idioma eng
    Resumen OBJECTIVES: To assess cognitive impairment after off-pump coronary-artery bypass grafting, with a particular emphasis on long-term follow-up and related risk factors. DESIGN: Prospective study. SETTING: Virgen de la Victoria University Hospital, Málaga, Spain. PARTICIPANTS: Participants were 36 patients undergoing off-pump coronary-artery bypass grafting. MEASUREMENTS: Changes in the neuropsychological test battery administered from before to after surgery (1, 6, and 12 months). Postoperative cognitive impairment was defined by a significant decrease. RESULTS: A significantly multidomain (attention-executive functions, P < .01; immediate and delayed memory, P < .001; and verbal fluency, P < .05) postoperative cognitive impairment was shown, being maximum at 6 months (more than 50% of patients) and still presented at 12 months (more than 30% of patients), but partially recovered. Related risk factors as smoking (P < .01), diabetes mellitus (P < .01), peripheral arteriopathy (P < .01), obesity (P < .05), lower hematocrit (P < .01), and hemoglobin (P < .05) levels and diastolic blood pressure (P < .05) were identified as predictors of cognitive impairment. Better New York Heart Association class (P < .01) and less severity of angina (P < .01) were associated with partial postoperative recovering. CONCLUSION: A multidomain long-term postoperative cognitive impairment and a partial neurocognitive recovering were detected after off-pump coronary-artery bypass grafting and were associated with several nonspecific surgery factors. These findings may be useful when counseling patients before surgery and suggest the importance of long-term neurocognitive evaluation.
    Fecha de adición 13/7/2015 9:23:58
    Modificado 13/7/2015 9:23:58

    Adjuntos

    • PubMed entry
  • Bilateral acute retinal necrosis due to varicella zóster virus in an elderly patient

    Tipo Artículo en revista científica
    Autor O. Villena-Irigoyen
    Autor L. Echevarría-Lucas
    Autor M. Castro-Gómez
    Autor R. M. Bellido-Muñoz
    Publicación Archivos De La Sociedad Espanola De Oftalmologia
    ISSN 1989-7286
    Fecha Mar 25, 2015
    Adicional PMID: 25817963
    Abrev. de la revista Arch Soc Esp Oftalmol
    DOI 10.1016/j.oftal.2015.02.012
    Catálogo de biblioteca PubMed
    Idioma ENG, SPA
    Resumen CASE REPORT: The case is reported of acute retinal necrosis with bilateral involvement due to Varicella Zoster virus in a 77 year-old man. Polymerase chain reaction (PCR) of aqueous humor was positive for Varicella Zoster virus (VZV). He developed a Kyrieleis' vasculitis a month after the starting treatment, when the PCR analysis was negative. DISCUSSION: PCR is a quick and safe technique, with a high sensitivity and specificity of 97%, useful to diagnose and monitor the viral activity. The intervention must be urgent, due to the dramatically rapid evolution. Oral famciclovir oral is good alternative owing to its bioavailability.
    Fecha de adición 22/10/2015 13:24:00
    Modificado 22/10/2015 13:24:00

    Marcas:

    • Acute retinal necrosis
    • Famciclovir
    • Kyrieleis’ vasculitis
    • Necrosis retiniana aguda
    • Necrotizing retinitis
    • Polymerase chain reaction
    • Reacción en cadena de la polimerasa
    • Retinal necrosis
    • Retinitis necrosantes
    • Vasculitis de Kyrieleis

    Adjuntos

    • PubMed entry
  • Clinical, virological and phylogenetic characterization of a multiresistant HIV-1 strain outbreak in naive patients in southern Spain

    Tipo Artículo en revista científica
    Autor I. Viciana
    Autor C. M. González-Domenech
    Autor R. Palacios
    Autor M. Delgado
    Autor A. Del Arco
    Autor F. Tellez
    Autor F. Jarilla
    Autor S. Fernández
    Autor E. Clavijo
    Autor J. Santos
    Publicación The Journal of Antimicrobial Chemotherapy
    ISSN 1460-2091
    Fecha Oct 19, 2015
    Adicional PMID: 26483513
    Abrev. de la revista J. Antimicrob. Chemother.
    DOI 10.1093/jac/dkv332
    Catálogo de biblioteca PubMed
    Idioma ENG
    Resumen BACKGROUND: We describe the characteristics of an HIV-1 strain with six viral reverse transcriptase mutations (D67N, T69N/D, V118I, V179D, T215S and K219Q), which we have called the Malaga strain. This strain was detected in treatment-naive patients from southern Spain. METHODS: The study was undertaken at the Virgen de la Victoria Hospital, Malaga, a reference centre for the study of HIV-1 genotype resistance in Andalusia (the 'Costa del Sol'), Spain. Genotypic resistance testing was done in an automated sequencer. Phylogenetic analysis was performed using a 630 bp region of the reverse transcriptase with the mutations mentioned. RESULTS: Between 2007 and 2014, we detected the Malaga strain in 30 treatment-naive patients. All were MSM, seen at five hospitals on the Costa del Sol. In all cases, the HIV-1 was subtype B with viral tropism R5. Phylogenetic analysis based on the reverse transcriptase sequence showed consistent grouping (with a bootstrap value of the common node of 100%) of the isolates that shared the mutation pattern mentioned. This strain has not been detected elsewhere or in previously treated patients. All of the patients treated with first-line combination ART responded. CONCLUSIONS: We report a cluster of an HIV-1 strain with multiple resistance mutations that was transmitted over a period of >8 years, affecting 30 naive patients from the same geographical area. The strain was susceptible to first-line combination ART.
    Fecha de adición 22/10/2015 13:24:00
    Modificado 22/10/2015 13:24:00

    Adjuntos

    • PubMed entry
  • [Combined hamartoma of the retina and retinal pigment epithelium. Anti-VEGF treatment of the associated choroidal neovascular membranes]

    Tipo Artículo en revista científica
    Autor L. Echevarría
    Autor O. Villena
    Autor T. Nievas
    Autor R. Bellido
    Volumen 90
    Ejemplar 2
    Páginas 87-93
    Publicación Archivos De La Sociedad Española De Oftalmología
    ISSN 1989-7286
    Fecha Feb 2015
    Adicional PMID: 25499584
    Abrev. de la revista Arch Soc Esp Oftalmol
    DOI 10.1016/j.oftal.2014.09.017
    Catálogo de biblioteca PubMed
    Idioma spa
    Resumen CASE REPORT: A 58 year-old female was diagnosed with a juxtapapillary combined hamartoma of the retina and retinal pigment epithelium (CHR-RPE) in her left eye 14 years ago. Her visual acuity in that eye was 20/20. Recently, she came to our department with a sudden visual loss and metamorphopsis in her left eye. After performing funduscopy, angiography and OCT, she was diagnosed with choroidal neovascular membrane (CNVM) at lesion border, and started on antiangiogenic therapy. DISCUSSION: CHR-RPE, despite being a benign condition, may become complicated with severe visual impairment. Antiangiogenic therapy provides a good alternative to photodynamic therapy or laser photocoagulation for treatment of CNVM, avoiding adding iatrogenesis from these treatment to the complications associated with this pathology.
    Fecha de adición 13/7/2015 9:25:01
    Modificado 13/7/2015 9:25:01

    Adjuntos

    • PubMed entry
  • Drug utilization pattern in children and off-label use of medicines in a pediatric intensive care unit

    Tipo Artículo en revista científica
    Autor E. Blanco-Reina
    Autor A. F. Medina-Claros
    Autor M. A. Vega-Jiménez
    Autor R. Ocaña-Riola
    Autor E. I. Márquez-Romero
    Autor Á Ruiz-Extremera
    Publicación Medicina Intensiva / Sociedad Espanola De Medicina Intensiva Y Unidades Coronarias
    ISSN 1578-6749
    Fecha Jan 9, 2015
    Adicional PMID: 25583042
    Abrev. de la revista Med Intensiva
    DOI 10.1016/j.medin.2014.11.007
    Catálogo de biblioteca PubMed
    Idioma ENG, SPA
    Resumen OBJECTIVE: This study aims to assess the prescription profile and license status of drugs used in a neonatal and pediatric intensive care unit (NPICU). METHODS: A prospective observational study was conducted on a dynamic cohort of children admitted to an NPICU (N=81) in a tertiary hospital (Granada, Spain). All prescriptions were classified as off-label or unlicensed based on the summary of product characteristics (SPC). RESULTS: Of a total of 601 prescriptions, the patients received a mean of 7.4±6 drugs each. The most commonly prescribed drugs corresponded to classes J (anti-infectious, systemic use) N (nervous system) and C (cardiovascular). A little over one-half of the prescriptions were off-label (52%), usually due to dosages differing from the SPC recommendations (79%), followed by different indications (13.5%), age (5%) and administration route (2.5%). In this NPICU, unlicensed usage represented only 5% of all prescriptions. CONCLUSIONS: This study contributes data on prescription of this kind in a Spanish NPICU, revealing at least one off-label prescription in 89% of the children and at least one unlicensed use in 22.3%. These are high figures, but are to be expected given the inclusion of newborn infants and the critical care setting. Even though such usage follows clinical protocols, we underscore the dual need to base treatment on the best available evidence, and to upgrade the SPC accordingly.
    Fecha de adición 13/7/2015 9:24:37
    Modificado 13/7/2015 9:24:37

    Adjuntos

    • PubMed entry
  • [Faecal calprotectin as an aid to the diagnosis of non-IgE mediated cow's milk protein allergy]

    Tipo Artículo en revista científica
    Autor C. Trillo Belizón
    Autor E. Ortega Páez
    Autor A. F. Medina Claros
    Autor I. Rodríguez Sánchez
    Autor A. Reina González
    Autor R. Vera Medialdea
    Autor J. M. Ramón Salguero
    Publicación Anales De Pediatria (Barcelona, Spain: 2003)
    ISSN 1695-9531
    Fecha Sep 2, 2015
    Adicional PMID: 26342278
    Abrev. de la revista An Pediatr (Barc)
    DOI 10.1016/j.anpedi.2015.07.007
    Catálogo de biblioteca PubMed
    Idioma SPA
    Resumen INTRODUCTION: The aim of the study was to assess the use of faecal calprotectin (FCP) in infants with signs and symptoms of non-IgE-mediated cow's milk protein allergy (CMA) for both diagnosis and prediction of clinical response at the time of withdrawal of milk proteins. PATIENTS AND METHODS: A one year prospective study was conducted on 82 infants between 1 and 12 months of age in the Eastern area of Málaga-Axarquía, of whom 40 of them had been diagnosed with non-IgE-mediated CMA (with suggestive symptoms and positive response to milk withdrawal), 12 not diagnosed with CMA, and 30 of them were the control group. FCP was measured at three different times: time of diagnosis, and one and three months later. ANOVA for repeated measures, nominal logistic regression and ROC curves were prepared using the SPSS.20 package and Medcalc. RESULTS: Differences between diagnostic and control groups were assessed: there was a statistically significant relationship (p<.0001) between high FCP levels and infants suffering CMA, as well as the levels at time of diagnosis, 1 and 3 months (p <.001). A ROC curve was constructed between FCP levels and diagnosis of CMA, with 138 ug/g, with the best cut-off being with an area under the curve of 0.89. However, it is only 0.68 to predict a clinical response. CONCLUSIONS: FCP levels lower than 138ug/g could be useful to rule out non-IgE-mediated CMA diagnosis. Calprotectin is not a good test to predict clinical response to milk withdrawal.
    Fecha de adición 22/10/2015 13:24:00
    Modificado 22/10/2015 13:24:00

    Marcas:

    • Alergia a proteínas de leche de vaca
    • Calprotectina fecal
    • Cow's milk allergy
    • Faecal calprotectin
    • Immunoglobulin E
    • Inmunoglobulina E

    Adjuntos

    • PubMed entry
  • Short- and long-term outcomes of surgery for severe tricuspid regurgitation

    Tipo Artículo en revista científica
    Autor Jorge Rodríguez-Capitán
    Autor Juan J. Gómez-Doblas
    Autor Leticia Fernández-López
    Autor Raúl López-Salguero
    Autor Manuel Ruiz
    Autor Inés Leruite
    Autor Fernando Cabrera-Bueno
    Autor María J. Mataró-López
    Autor Gemma Sánchez-Espín
    Autor José M. Melero-Tejedor
    Autor Carlos Porras-Martín
    Autor Miguel Such
    Autor Eduardo de Teresa
    Volumen 66
    Ejemplar 8
    Páginas 629-635
    Publicación Revista Española De Cardiología (English Ed.)
    ISSN 1885-5857
    Fecha Aug 2013
    Adicional PMID: 24776331
    Abrev. de la revista Rev Esp Cardiol (Engl Ed)
    DOI 10.1016/j.rec.2013.02.002
    Catálogo de biblioteca PubMed
    Idioma eng
    Resumen INTRODUCTION AND OBJECTIVES: There is little data available for Spain on the outcomes of surgical treatment for severe tricuspid regurgitation. The aim of this study was to analyze clinical and echocardiographic outcomes in a series of patients who received surgical treatment for severe tricuspid regurgitation and to compare outcomes according to the operative approach to valve repair or replacement. METHODS: Retrospective study in 119 consecutive patients with severe tricuspid regurgitation undergoing valve surgery between April 1996 and February 2010. RESULTS: A total of 61 ringless and 23 ring annuloplasties were performed and 11 bioprostheses and 24 mechanical prostheses were implanted. Perioperative mortality was 18.5% and was associated with age and cardiopulmonary bypass time. During clinical follow-up (median, 41 [interquartile range, 24-89] months), 2 reoperations were required in the ring annuloplasty and mechanical prosthesis groups; prosthetic thrombosis was diagnosed in 4 patients in the latter group. Total mortality after follow-up was 29.9% and was associated with age>70 years and extracorporeal circulation time. The emergence of new severe tricuspid regurgitation was associated with age and ringless annuloplasty (P=.04). CONCLUSIONS: Ringless repair was significantly associated with recurrence of severe tricuspid regurgitation. The use of mechanical prostheses was associated with a high rate of thrombosis. No significant differences in perioperative or total mortality were found between the different methods used for repair or valve replacement.
    Fecha de adición 13/7/2015 9:22:23
    Modificado 13/7/2015 9:22:23

    Marcas:

    • Adult
    • Aged
    • Female
    • Heart Valve Prosthesis Implantation
    • Humans
    • Male
    • Middle Aged
    • Reoperation
    • Treatment Outcome
    • Tricuspid Valve Insufficiency

    Adjuntos

    • PubMed entry
  • [Thyroid dysfunction in pregnancy. Consensus document. Andalusian Society of Endocrinology and Nutrition (SAEN).]

    Tipo Artículo en revista científica
    Autor P. Santiago Fernández
    Autor S. González-Romero
    Autor T. Martín Hernández
    Autor E. Navarro González
    Autor I. Velasco López
    Autor M. C. Millón Ramírez
    Publicación Semergen / Sociedad Espanola De Medicina Rural Y Generalista
    ISSN 1578-8865
    Fecha Feb 18, 2015
    Adicional PMID: 25700854
    Abrev. de la revista Semergen
    DOI 10.1016/j.semerg.2014.12.011
    Catálogo de biblioteca PubMed
    Idioma SPA
    Resumen A position statement on the diagnosis and treatment of thyroid dysfunction in pregnancy has been agreed on behalf of The Sociedad Andaluza de Endocrinología y Nutrición (SAEN), based on a review of the literature to date and all good clinical practice guidelines. The document is set out in different sections as regards the diagnosis and treatment of, overt and subclinical hypo- and hyperthyroidism, isolated hypothyroxinaemia and postpartum thyroiditis. It also justifies the implementation of universal screening for thyroid dysfunction in pregnancy, and provides practitioners who care for these patients with tool for rational decision making.
    Fecha de adición 13/7/2015 9:23:28
    Modificado 13/7/2015 9:23:28

    Adjuntos

    • PubMed entry
  • Using dermoscopy to assess diagnostic criteria of neurofibromatosis

    Tipo Artículo en revista científica
    Autor Elisabeth Gómez Moyano
    Autor Leandro Martínez Pilar
    Autor Marina Rodriguez Calvo de Mora
    Autor Maria Virginia Herrero Garcia
    Autor Antonio Francia
    Autor Daniel Jesús Godoy Diaz
    Autor Angel Vera Casaño
    Volumen 73
    Ejemplar 1
    Páginas e17-18
    Publicación Journal of the American Academy of Dermatology
    ISSN 1097-6787
    Fecha Jul 2015
    Adicional PMID: 26089063
    Abrev. de la revista J. Am. Acad. Dermatol.
    DOI 10.1016/j.jaad.2015.03.053
    Catálogo de biblioteca PubMed
    Idioma eng
    Fecha de adición 13/7/2015 9:21:46
    Modificado 13/7/2015 9:21:46

    Adjuntos

    • PubMed entry
  • Using dermoscopy to assess diagnostic criteria of neurofibromatosis

    Tipo Artículo en revista científica
    Autor Elisabeth Gómez Moyano
    Autor Leandro Martínez Pilar
    Autor Marina Rodriguez Calvo de Mora
    Autor Maria Virginia Herrero Garcia
    Autor Antonio Francia
    Autor Daniel Jesús Godoy Diaz
    Autor Angel Vera Casaño
    Volumen 73
    Ejemplar 1
    Páginas e17-18
    Publicación Journal of the American Academy of Dermatology
    ISSN 1097-6787
    Fecha Jul 2015
    Adicional PMID: 26089063
    Abrev. de la revista J. Am. Acad. Dermatol.
    DOI 10.1016/j.jaad.2015.03.053
    Catálogo de biblioteca PubMed
    Idioma eng
    Fecha de adición 22/10/2015 13:24:00
    Modificado 22/10/2015 13:24:00

    Marcas:

    • Adult
    • Dermoscopy
    • Female
    • Humans
    • Iris
    • Lisch nodules
    • neurofibromatosis
    • Neurofibromatosis 1

    Adjuntos

    • PubMed entry
  • [Verrocous mass on the tongue: oral florid papillomatosis]

    Tipo Artículo en revista científica
    Autor Luis Miguel Pérez-Belmonte
    Autor Elisabeth Gómez-Moyano
    Autor Leticia Herrero-Lifona
    Autor Francisco Jiménez-Oñate
    Volumen 33
    Ejemplar 2
    Páginas 135-136
    Publicación Enfermedades Infecciosas Y Microbiología Clínica
    ISSN 1578-1852
    Fecha Feb 2015
    Adicional PMID: 25037616
    Abrev. de la revista Enferm. Infecc. Microbiol. Clin.
    DOI 10.1016/j.eimc.2014.04.011
    Catálogo de biblioteca PubMed
    Idioma spa
    Título corto [Verrocous mass on the tongue
    Fecha de adición 13/7/2015 9:25:31
    Modificado 13/7/2015 9:25:31

    Adjuntos

    • PubMed entry
  • Tipo Artículo en revista
    Fecha de adición 23/9/2015 10:02:33
    Modificado 23/9/2015 10:02:33