1,499 results match your criteria Anales del Sistema Sanitario De Navarra[Journal]


Attention deficit hyperactivity disorder and eating disorders: an overlooked comorbidity?

An Sist Sanit Navar 2022 04 25;45(1). Epub 2022 Apr 25.

Vice Chair and Chief of Child and Adolescent Psychiatry. ADHD Outpatient Program. Integra ted Behavioral Health Team. Louis A. Faillace Department of Psychiatry and Behavioral Sciences. McGovern Medical School, The University of Texas Health Science.

View Article and Full-Text PDF

[Prevalence of diabesity in Spain: it depends on how obesity is defined].

An Sist Sanit Navar 2022 04 25;45(1). Epub 2022 Apr 25.

Laboratorio de Investigación Metabólica. Clínica Universidad de Navarra. Pamplona. España. CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN). Instituto de Salud Carlos III. 2) Grupo de Obesidad y Adipobiología. Instituto de Investigación San.

View Article and Full-Text PDF

[Role of HIF-PHD inhibitor in improving adherence and safety in the treatment of anemia in chronic kidney disease].

An Sist Sanit Navar 2022 04 25;45(1). Epub 2022 Apr 25.

Servicio de Nefrología. Clínica Universidad de Navarra. Pamplona. España..

View Article and Full-Text PDF

[Analysis of the status of cardiac rehabilitation in Spain: an exploratory review].

An Sist Sanit Navar 2022 Apr 27;45(1). Epub 2022 Apr 27.

Servicio Cardiología. Unidad Integral Ambulatoria Especializada. Hospital General Universitario de Elche. Alicante. España..

Little is known about the characteristics of the cardiac rehabilitation programs currently implemented in Spain, the aim was therefore to know more about the effectiveness of cardiac rehabilitation in patients with ischemic heart disease in Spain, through an exploratory systematic review of the scientific literature on cardiac rehabilitation carried out in different databases from 2010 to 2018. We reviewed 35 articles whose objective was to measure the effectiveness of cardiac rehabilitation programs from different perspectives. More than twice as many men as women participated and only 8. Read More

View Article and Full-Text PDF

[Presence and influence of attention deficit hyperactivity disorder symptoms in adults with an eating disorder].

An Sist Sanit Navar 2022 Apr 27;45(1). Epub 2022 Apr 27.

Osakidetza-Servicio Vasco de Salud. Red de Salud Mental de Gipuzkoa. Centro de Salud Mental de Donostia-Amara. San Sebastián. España..

Background: The coexistence of eating disorders (ED) and attention deficit hyperactivity disorder (ADHD) is common. The aim of the study was to quantify the presence of ADHD symptoms in adult patients with ED and evaluate any possible correlation between both symptomatologies.

Methods: Cross-sectional study of patients with ED. Read More

View Article and Full-Text PDF

[Starting of a new pediatric palliative care program in a general hospital: characteristics of the population and use of resources].

An Sist Sanit Navar 2022 Apr 27;45(1). Epub 2022 Apr 27.

Servicio de Pediatría. Hospital General de Segovia. Segovia. España..

This article sets out to describe the characteristics of patients at a second-level hospital who are likely to receive pedi-atric palliative care (PPC), the frequency of visits to the emergency room, admissions and technological devices used. A retrospective study was carried out of the patients who received care from the start of the PPC program (January 2017 to January 2020) at a secondary-level hospital. Twenty-nine patients were included, 58. Read More

View Article and Full-Text PDF

[Impact of pharmaceutical care in polymedicated patients admitted to a geriatric ward].

An Sist Sanit Navar 2022 Apr 27;45(1). Epub 2022 Apr 27.

Servicio de Farmacia. Hospital San Pedro. Logroño. España..

Background: The aim of the study was estimate the prevalence of potentially inappropriate prescribing (PIP) and drug related problems (DRP) in an acute geriatric ward, and to evaluate the impact of pharmaceutical intervention on their prevalence.

Methods: Quasi-experimental, interventional study in polymedicated patients (= 6 drugs) who were admitted to a Geriatric ward in 2018-2019. PIP were analyzed according to STOPP/START 2014 criteria and DRP on the Third Consensus of Granada. Read More

View Article and Full-Text PDF

[Clinical and social evaluation of depressed patients in a Psychogeriatric Day Hospital program].

An Sist Sanit Navar 2022 Apr 27;45(1). Epub 2022 Apr 27.

Hospital de Día Psicogeriátrico. Gerencia de Salud Mental. Servicio Navarro de Salud-Osasunbidea. Pamplona. España..

Background: The aim of this study was to identify the problems of patients with severe depressive symptoms (GDS>9) according to the HoNOS+65 scale, to evaluate the effectiveness of a partial hospitalization program to reduce severe depressive symptoms, and to identify independent predictors.

Methods: Pre-post study of patients with depression treated at the psychogeriatric Day Hospital (HDPG) of Pamplona (Spain). The scores obtained on the HoNOS+65, MMSE, GDS, BARTHEL, ALSAR, and COTE scales were compared at admission and discharge, and the prognostic factors for no improvement of severe depressive symptoms were determined. Read More

View Article and Full-Text PDF

[Facilitating elements of end-of-life health care in the public health system].

An Sist Sanit Navar 2022 04 27;45(1). Epub 2022 Apr 27.

Servicio de Ciudadanía Sanitaria, Aseguramiento y Garantías. Departamento de Salud. Gobierno de Navarra. Pamplona. España..

View Article and Full-Text PDF

[Diagnostic keys for disseminated eczema: experience of a Dermatitis Contact unit (2003-2019)].

An Sist Sanit Navar 2022 Apr 28;45(1). Epub 2022 Apr 28.

Servicio de Dermatología. Hospital Universitario de Navarra. Pamplona. España.

The aim of this study was to establish the diagnoses of patients with disseminated eczema and analyze the allergens involved in disseminated eczema due to allergic contact dermatitis. We analyzed the data from patients with a diagnosis of disseminated / generalized eczema who had undergone anamnesis, physical examination and patch tests in a Contact Dermatitis consultation from 2003 to 2019. Allergic contact dermatitis was the most frequent diagnosis, folowed by atopic dermatitis, asteatotic eczema, and gravitational eczema. Read More

View Article and Full-Text PDF

[CERCAR to COVID-19: A structured communication model for the follow-up of cases and contacts in Primary Care].

An Sist Sanit Navar 2022 04 27;45(1). Epub 2022 Apr 27.

Facultad de Enfermería. Universidad de Murcia. El Palmar (Murcia). España.

View Article and Full-Text PDF

[Importance of the assessment of pain and self-perception of physical condition in frail patients].

An Sist Sanit Navar 2021 12 27;44(3):323-326. Epub 2021 Dec 27.

Servicio de Geriatría. Hospital Universitario de Navarra. Pamplona. España..

View Article and Full-Text PDF
December 2021

[Prevalence and incidence of ictus in Europe: systematic review and meta-analysis].

An Sist Sanit Navar 2022 Apr 28;45(1). Epub 2022 Apr 28.

Departamento de Especialidades Médicas. Facultad de Medicina. Universidad de La Frontera. Temuco. Chile..

Background: Stroke is the second cause of death and the first cause of disability in Europe. The number of stroke patients shows a rapidly increasing due to the increase in the elderly population. The aim of this meta-analysis is to evaluate the prevalence and incidence of stroke in Europe. Read More

View Article and Full-Text PDF

[Recommendations for outpatient respiratory rehabilitation of long COVID patients].

An Sist Sanit Navar 2022 Apr 28;45(1). Epub 2022 Apr 28.

Área de Fisioterapia. Departamento Patología y Cirugía. Universidad Miguel Hernández. Elche. Alicante. España..

The appearance of COVID-19 has been a problem for public health on a global scale, putting pressure on health care systems. The after-effects of this illness have highlighted the importance of rehabilitation in long COVID patients involv-ing different health professionals. The treatment of the respiratory after-effects of this disease in an outpatient setting is a specialized field. Read More

View Article and Full-Text PDF

[Prevalence of diabesity in the Spanish working population: influence of sociodemographic variables and tobacco consumption].

An Sist Sanit Navar 2022 Apr 27;45(1). Epub 2022 Apr 27.

Universitat de les Illes Balears. Palma de Mallorca. España..

Background: Obesity predisposes to type 2 diabetes so often that the combination is called diabesity. The aim of this study was to determine the prevalence of diabesity in the working population and to analyze the variables associated with it.

Method: Cross-sectional study between January 2019 and June 2020 by 418,343 workers from 18 to 67 year-old, from different professions and Spanish geographic areas. Read More

View Article and Full-Text PDF

[Leishmaniasis in Navarra, Spain (1976-2018): an update].

An Sist Sanit Navar 2022 Apr 28;45(1). Epub 2022 Apr 28.

Universidad de Navarra. Instituto de Salud Tropical (ISTUN). Departamento de Microbiología y Parasitología. Pamplona. España..

Leishmaniasis is endemic in countries of the Mediterranean area. In this study, the information available on leishmaniasis in Navarra in the period 1976-2018 and in the bordering regions was collected, along with an overview of the situation of this disease at the national level, from the vector to humans. Aragón exhibited a lower incidence rate in the last ten years (2008-2018) compared to the previous decade, while Navarra and La Rioja have almost doubled the number of cases per 100,000 inhabitants and, likewise, incidence in the Basque Country has also increased. Read More

View Article and Full-Text PDF

[Neonatal pyloroduodenal duplication cyst. A case report].

An Sist Sanit Navar 2021 Dec 27;44(3):463-468. Epub 2021 Dec 27.

Servicio de Cirugía Pediátrica. Complejo Hospitalario Universitario de A Coruña. As Xubias, s/n 15006. A Coruña. EspañaA Coruña. España..

Intestinal duplications located in the duodenum are rare conditions that generally affect the first or second duodenal portion. It is extremely unusual for this condition to be located in the pyloroduodenal area, accounting for less than ten documented cases. This research presents a case of a female newborn who showed on the second day of life signs of upper intestinal obstruction which required exploratory laparotomy. Read More

View Article and Full-Text PDF
December 2021

[Randomized experimental study to evaluate the effectiveness of the Flebitis Zero project in Navarre].

An Sist Sanit Navar 2021 Dec 27;44(3):417-426. Epub 2021 Dec 27.

Unidad de Formación Continuada, Docencia E Investigación. Hospital Universitario de Navarra. Servicio Navarro de Salud-Osasunbidea. C/ Irunlarrea, 3. 31008 Pamplona España..

Background: Phlebitis is one of the most frequent complications in peripheral venous catheters. The aim was to compare the frequency of phlebitis before and after the implementation of the Flebitis Zero project, in order to ascertain its effectiveness and what factors were associated with this complication.

Methods: Randomized pre-post intervention (Flebitis Zero project) study performed in the Hospital Universitario de Navarra (Pamplona, Spain) between 2015 and 2019. Read More

View Article and Full-Text PDF
December 2021

[Effectiveness of respiratory physiotherapy combined with postural education in children with chronic neurological diseases].

An Sist Sanit Navar 2021 Dec 27;44(3):427-436. Epub 2021 Dec 27.

Departamento de Fisioterapia. Centro de Salud Arroyo de la Media Legua. Madrid. España.

Background: Children with chronic neurological diseases present motor disability and increased respiratory morbidity and mortality. The aim of this study was to assess whether children with chronic neurological impairment benefit from respiratory physiotherapy and postural hygiene.

Methods: Quasi-experimental study in which six fortnightly respiratory physiotherapy sessions and workshops on postural hygiene were carried out on children aged 0 to 6 years with chronic neurological disease and respiratory impairment. Read More

View Article and Full-Text PDF
December 2021

[Pulmonary cavitations, late complication of COVID-19].

An Sist Sanit Navar 2022 Apr 27;45(1). Epub 2022 Apr 27.

Servicio de Medicina Intensiva. Hospital Clínico Universitario Lozano Blesa. Zaragoza. España..

Patients who have recently suffered from SARS-CoV-2 infections may suffer serious complications, such as pneumothorax or pulmonary cavitations that increase morbi-mortality and imply a challenge for the design of the most appropriate therapeutic strategy to improve their prognosis. Pulmonary cavities are usually associated with secondary complications such as hemoptysis and pneumothorax, and so offer a poor prognosis. We present the case of two patients with COVID-19 disease confirmed by nasopharyngeal PCR who showed satisfactory evolution before readmission with pulmonary involvement compatible with pulmonary cavitation and respiratory failure. Read More

View Article and Full-Text PDF

[Update on the effectiveness and evidence of ante-natal perineal massage].

An Sist Sanit Navar 2021 Dec 27;44(3):437-444. Epub 2021 Dec 27.

C.S Villarroya Sierra. Zaragoza. España..

The impact and morbidity generated by perineal trauma during vaginal delivery justifies the need to find strategies to minimize it. Ante-natal perineal massage (APM) is proposed as a technique that increases the elasticity of the perineum and that could reduce damage to the pelvic floor. This review set out to discover the effectiveness and the scientific evidence that supports this procedure. Read More

View Article and Full-Text PDF
December 2021

Use of the Minimum Basic Data Set as a tool for the epidemiological surveillance of mesothelioma.

An Sist Sanit Navar 2021 Dec 27;44(3):405-415. Epub 2021 Dec 27.

Cancer Registry and Pathology Department. Hospital Universitario Príncipe de Asturias. Alcalá de Henares. Madrid. Spain..

Background: Mesothelioma is a very aggressive tumor that appears after several decades of asbestos exposure. The Minimum Basic Data Set (MBDS) has been validated for the incidence of mesothelioma in Italy, but not in Spain. The objectives of this investigation are: to estimate the prevalence, incidence and mortality of mesothelioma in the Community of Madrid (CM); to evaluate the distribution of this risk within the territory; and to explore validity of the MBDS in the epidemiological surveillance of mesothelioma. Read More

View Article and Full-Text PDF
December 2021

[Pathogenic mechanisms of SARS-CoV-2 infection and kidney disease: a clinical and molecular perspective].

An Sist Sanit Navar 2021 Dec 27;44(3):445-456. Epub 2021 Dec 27.

Centro de Investigaciones Endocrino-Metabólicas "Dr. Félix Gómez". Escuela de Medicina. Universidad del Zulia. Maracaibo.

The SARS-CoV-2 infection has become as a worldwide public health emergency. It exhibits a variety of clinical presentations, ranging from benign to acute respiratory distress syndrome, systemic involvement, and multiorganic failure. The severity of the clinical picture depends on host and virus biological features and the presence of comorbidities such as chronic kidney disease. Read More

View Article and Full-Text PDF
December 2021

[Impact of charge nurses' span of control on the work attitudes of nurses].

An Sist Sanit Navar 2021 Dec 27;44(3):373-383. Epub 2021 Dec 27.

Hospital Clínico Lozano Blesa. Zaragoza. España.

Background: To determine the number of nurses who are supervised by a charge nurse in the Nursing Units of Aragonese general public hospitals and to analyze how this affects the organizational behaviors of nurses and the quality of the relationships established with the charge nurses.

Methods: Cross-sectional study carried out in nine public hospitals. Validated questionnaires were used to assess the working behavior of nurses and the quality of their relationships with charge nurses, and the charge nurse's relationship with their immediate superior and nursing staff. Read More

View Article and Full-Text PDF
December 2021

[Spontaneous retrobulbar haemorrhage associated with anticoagulants].

An Sist Sanit Navar 2022 Apr 27;45(1). Epub 2022 Apr 27.

Servicio de Oftalmología Hospital Universitario Miguel Servet. Zaragoza. España..

Retrobulbar hemorrhage consists of bleeding in the retroseptal intraorbital region generating an orbital compartment syndrome. We present the case of an 86-year-old woman who came to the Emergency Room due to ocular pain and loss of vision in the left eye of six hours of evolution. The only medical history was atrial fibrillation on anticoagulant treatment with Dabigatran 300mg daily. Read More

View Article and Full-Text PDF

[Risk factors associated with SARS-CoV-2 infection among health professionals in Spain].

An Sist Sanit Navar 2021 Dec 27;44(3):397-404. Epub 2021 Dec 27.

Servicio de Neumología. Hospital Universitari Son Espases. Palma de Mallorca. España.

Background: Occupational infection rates for SARS-CoV-2 among health professionals in Spain are high in comparison to other countries. The objective of the study was to describe and analyze the risk factors associated with this transmission.

Methods: Cross-sectional study with non-probabilistic snowball sampling of health professionals (medicine, nursing, physiotherapy, auxiliary care) of different levels of care (primary care, hospital, nursing homes, etc. Read More

View Article and Full-Text PDF
December 2021

[Wünderlich syndrome: a case report].

An Sist Sanit Navar 2021 08 20;44(2):311-313. Epub 2021 Aug 20.

Centro de Salud. Sabiñán. Zaragoza. España..

View Article and Full-Text PDF

[Withdrawal of antiepileptic drugs].

An Sist Sanit Navar 2021 08 20;44(2):309-310. Epub 2021 Aug 20.

Servicio de Neurología. Complejo Hospitalario de Navarra. Pamplona (Navarra). España.

View Article and Full-Text PDF

[Emerging infectious diseases: a medical reality].

Authors:
J E Losa

An Sist Sanit Navar 2021 08 19;44(2):147-151. Epub 2021 Aug 19.

Unidad de Enfermedades Infecciosas. Hospital Universitario Fundación Alcorcón. Madrid..

View Article and Full-Text PDF

Safety considerations during prescription of non-steroidal anti-inflammatory drugs (NSAIDs), through a review of systematic reviews.

An Sist Sanit Navar 2021 Aug 20;44(2):261-273. Epub 2021 Aug 20.

Andalusian School of Public Health (EASP). Campus Universitario de Cartuja. Granada. Spain..

Non-steroidal anti-inflammatory drugs (NSAIDs) are among the most widely used drugs worldwide. This makes it necessary to carry out a comprehensive synthesis of the available evidence on the safe and adequate prescription of NSAIDs in patients with cardiovascular disease, chronic kidney disease, hypertension, heart failure or liver cirrhosis and in general population. For this, a review of systematic reviews was carried out. Read More

View Article and Full-Text PDF