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2.
Graefes Arch Clin Exp Ophthalmol ; 259(1): 37-43, 2021 Jan.
Article in English | MEDLINE | ID: mdl-32783096

ABSTRACT

PURPOSE: This study aims to determine whether elevated central macular thickness (CMT) before uncomplicated cataract surgery may be a risk factor for developing cystic macular edema (CMEs) as measured by Cirrus-OCT and defined as the presence of macular intraretinal cysts. METHODS: A prospective study in Hospital Universitario Poniente, Almeria, Spain, where 379 patients were included for optical coherence tomography (OCT) before cataract surgery, the following day, at 1 month and at 3 months and the presence of macular intraretinal cysts assessed by OCT. Patients with known risk factors for developing CME and patients who developed major surgical complications were excluded. RESULTS: One hundred seventy-nine patients completed the study. The pre-surgical CMT was 257.75 (20.60) µm measured by Cirrus-OCT. After 1 month, there was an average increase in CMT of 277.86 (45.29) µm, and this increase in thickness decreased after 3 months to an average value of 267.86 (20.17) µm. There were 10.34% of patients with cysts in some of the controls after surgery. This study proposes a binary logistic model to predict the presence of CME depending on the pre-surgery CMT. The cut-off point was 260.5 µm. CONCLUSION: Patients with pre-surgical macular thickness > 260.5 µm measured by Cirrus- OCT before cataract surgery, no known risk factors for developing CME and no major surgical complications presented 9.08 times more probability to develop macular intraretinal cysts after uncomplicated cataract surgery.


Subject(s)
Macular Edema , Phacoemulsification , Humans , Macular Edema/diagnosis , Macular Edema/etiology , Prospective Studies , Risk Factors , Tomography, Optical Coherence , Visual Acuity
9.
Rev Clin Esp (Barc) ; 220(2): 143, 2020 Mar.
Article in English, Spanish | MEDLINE | ID: mdl-30773285
15.
J Hosp Infect ; 102(4): 449-453, 2019 Aug.
Article in English | MEDLINE | ID: mdl-30771370

ABSTRACT

Peripheral venous catheter-associated bloodstream infections (PVC-BSIs) lead to prolonged hospitalization, morbidity and increased costs. The impact of infection-prevention measures on the rate of PVC-BSIs in a university hospital in Spain was assessed. An active surveillance programme was initiated in 2015, which revealed a high PVC-BSI incidence ratio (0.48/1000 patient-days). A bundle aimed at nurses, medical staff and patients was implemented, and a Catheter Infection Team (CIT) was set up. The intervention achieved a decrease in PVC-BSI rate: 0.34 in 2016, 0.29 in 2017, and 0.17 in 2018. The decline was greatest for Gram-negative PVC-BSIs (67.6% in 2015, 35.3% in 2018).


Subject(s)
Catheter-Related Infections/prevention & control , Catheterization, Peripheral/adverse effects , Catheterization, Peripheral/methods , Infection Control/methods , Sepsis/prevention & control , Adolescent , Adult , Aged , Aged, 80 and over , Catheter-Related Infections/epidemiology , Female , Humans , Incidence , Infection Control/organization & administration , Male , Middle Aged , Sepsis/epidemiology , Spain/epidemiology , Young Adult
17.
SEMERGEN, Soc. Esp. Med. Rural Gen. (Ed. Impr.) ; 44(4): 257-261, mayo-jun. 2018. tab
Article in Spanish | IBECS | ID: ibc-179989

ABSTRACT

Antecedentes y objetivo: La pérdida de peso es un motivo frecuente de consulta que abarca múltiples posibilidades diagnósticas. El objetivo de este trabajo es estudiar las características de los pacientes que acuden a consulta por pérdida de peso y establecer la relación de esta con las neoplasias. Método: Se analizaron datos demográficos, pérdida de peso cuantificada, sintomatología acompañante y diagnóstico de los pacientes que acuden a consulta por este motivo, durante el año 2015. Resultados: Se incluyeron 226 pacientes, de los cuales el 44,2% presentaba una pérdida de peso≥5% en los 6 meses previos. El diagnóstico más frecuente en este grupo fueron las neoplasias, mientras que en el resto de los pacientes fueron las enfermedades digestivas. Se establece relación entre una pérdida de peso≥5% y la presencia de neoplasias. Conclusión: Una pérdida de peso superior al 5% en los 6 meses previos se asocia con la presencia de enfermedades neoplásicas, lo que exige un estudio diagnóstico exhaustivo


Background and objective: Unintentional weight loss is frequent reason to visit a doctor and it has multiple diagnostic possibilities. The objective of this study is to examine the background of the patients who seek consultation for weight loss and to establish the relationship between weight loss and neoplasia. Method: An analysis was performed on the demographic data, quantified weight loss, accompanying symptomatology, and diagnosis of patients who sought medical advice for unintentional weight loss during the year 2015. Results: A total of 226 patients were included, of whom 44.2% of them had an intentional weight loss ≥ 5% in 6 months. The most frequent diagnosis in this group was a neoplasia, whereas in the rest of patients the most common diagnosis was a gastrointestinal disease. In light of this study we can conclude that there is a relationship between unintentional weight loss≥5% and the presence of neoplasia. Conclusion: An unintentional weight loss greater than 5% in the previous 6 months is associated with the presence of neoplastic diseases, and therefore requires further diagnostic study


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Weight Loss , Thinness/etiology , Neoplasms/epidemiology , Bacterial Infections/epidemiology , Digestive System Diseases/epidemiology , Thinness/epidemiology , Neoplasms/diagnosis , Risk Factors , Retrospective Studies
19.
Semergen ; 44(4): 257-261, 2018.
Article in Spanish | MEDLINE | ID: mdl-28918180

ABSTRACT

BACKGROUND AND OBJECTIVE: Unintentional weight loss is frequent reason to visit a doctor and it has multiple diagnostic possibilities. The objective of this study is to examine the background of the patients who seek consultation for weight loss and to establish the relationship between weight loss and neoplasia. METHOD: An analysis was performed on the demographic data, quantified weight loss, accompanying symptomatology, and diagnosis of patients who sought medical advice for unintentional weight loss during the year 2015. RESULTS: A total of 226 patients were included, of whom 44.2% of them had an intentional weight loss ≥ 5% in 6 months. The most frequent diagnosis in this group was a neoplasia, whereas in the rest of patients the most common diagnosis was a gastrointestinal disease. In light of this study we can conclude that there is a relationship between unintentional weight loss≥5% and the presence of neoplasia. CONCLUSION: An unintentional weight loss greater than 5% in the previous 6 months is associated with the presence of neoplastic diseases, and therefore requires further diagnostic study.


Subject(s)
Gastrointestinal Diseases/diagnosis , Neoplasms/diagnosis , Weight Loss , Aged , Aged, 80 and over , Female , Gastrointestinal Diseases/complications , Humans , Male , Middle Aged , Neoplasms/complications , Retrospective Studies
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