Subject(s)
Edema/complications , Facial Paralysis/complications , Lip Diseases/complications , Adult , Anti-Inflammatory Agents/therapeutic use , Diagnosis, Differential , Edema/drug therapy , Facial Paralysis/drug therapy , Female , Humans , Lip Diseases/drug therapy , Melkersson-Rosenthal Syndrome/diagnosis , Prednisone/therapeutic useABSTRACT
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Subject(s)
Female , Adult , Humans , Edema/complications , Facial Paralysis/complications , Lip Diseases/complications , Anti-Inflammatory Agents/therapeutic use , Diagnosis, Differential , Edema/drug therapy , Facial Paralysis/drug therapy , Lip Diseases/drug therapy , Melkersson-Rosenthal Syndrome/diagnosis , Prednisone/therapeutic useABSTRACT
OBJECTIVE: In recent years Internet has become an important tool for medical information search, not only for physicians but also for the patients. Little is known about Internet patient's use in Spain. Our objective was to study the frequency with which patients with different chronic autoimmune diseases cared in our unit use Internet as a source of medical information, and to identify the factors associated with its use. METHODS: A survey was carried out on Internet use to patients cared in a teaching hospital Systemic Autoimmune Diseases unit along three consecutive weeks. RESULTS: Hundred thirty-eight patients completed the questionnaire. Eighty-seven (63%) were women. Fifty-four patients (39.1%) were older than 55 years. Mean disease progression was 34.2 +/- 39.2 months. 22% of the respondents were uneducated, 39% had elementary education level; 20% had average education level, and 20% had advanced education level. Forty-two patients (30.4%) used regularly Internet for any purpose. Factors associated to Internet use for medical purposes were regular Internet use (OR: 4.6; CI: 1.1-18.8;p = 0.03), and average or advanced educational degree (advanced education: OR: 22.9; CI: 2.6-202.7; p = 0.005; average education: OR: 8.5; CI: 1.2-59.6; p = 0.03). Eighty-one patients (58.7%) expressed their need of information on quality web pages. CONCLUSIONS: Many patients use Internet for medical purposes in our environment and even more consider to use it in the future. It is important to be aware of this fact and facilitate information about quality web pages for interested patients.
Subject(s)
Autoimmune Diseases/therapy , Health Education , Information Dissemination , Internet/instrumentation , Patient Education as Topic , Adult , Autoimmune Diseases/rehabilitation , Female , Hospitalization , Humans , Male , Middle Aged , Surveys and QuestionnairesABSTRACT
Objetivo. En los últimos años Internet se ha convertido en una importante herramienta para la búsqueda de información médica, no sólo para los médicos, sino también para los pacientes. Poco se conoce sobre la utilización de la red por parte de los pacientes en España. Nuestro objetivo fue estudiar la frecuencia con la que los pacientes atendidos en nuestra consulta, afectos de diferentes enfermedades autoinmunes crónicas, utilizan Internet como fuente de información médica e identificar los factores asociados con su uso. Métodos. Se pasó un cuestionario sobre la utilización de Internet a los pacientes atendidos en una Unidad de Enfermedades Autoinmunes Sistémicas en un hospital universitario durante tres semanas consecutivas. Resultados. Ciento treinta y ocho pacientes completaron el cuestionario. Ochenta y siete (63%) fueron mujeres. Cincuenta y cuatro pacientes (39,1%) fueron mayores de 55 años. El tiempo medio de evolución de la enfermedad fue 34,2 ± 39,2 meses. El 22% de los encuestados no tenían estudios, el 39% tenía estudios elementales, el 20% estudios medios y el 20% estudios superiores. Cuarenta y dos pacientes (30,4%) utilizaban Internet de forma habitual con cualquier fin. Los factores asociados con la utilización de Internet con fines médicos fueron el utilizar Internet habitualmente (OR: 4,6; IC: 1,1-18,8; p = 0,03) y el tener estudios medios o superiores (estudios superiores: OR: 22,9; IC: 2,6-202,7; p = 0,005; estudios medios: OR: 8,5; IC: 1,2-59,6; p = 0,03). Ochenta y un pacientes (58,7%) expresaron su deseo de que se les facilitara información sobre páginas de Internet de calidad. Conclusiones. En nuestro medio muchos pacientes utilizan Internet con fines médicos, y aún más esperan utilizarlo en un futuro. Es importante ser conscientes de este hecho y facilitar a los pacientes interesados direcciones de páginas web de calidad
Objective. In recent years Internet has become an important tool for medical information search, not only for physicians but also for the patients. Little is known about Internet patient's use in Spain. Our objective was to study the frequency with which patients with different chronic autoimmune diseases cared in our unit use Internet as a source of medical information, and to identify the factors associated with its use. Methods. A survey was carried out on Internet use to patients cared in a teaching hospital Systemic Autoimmune Diseases unit along three consecutive weeks. Results. Hundred thirty-eight patients completed the questionnaire. Eighty-seven (63%) were women. Fifty-four patients (39.1%) were older than 55 years. Mean disease progression was 34.2 ± 39.2 months. 22% of the respondents were uneducated, 39% had elementary education level; 20% had average education level, and 20% had advanced education level. Forty-two patients (30.4%) used regularly Internet for any purpose. Factors associated to Internet use for medical purposes were regular Internet use (OR: 4.6; CI: 1.1-18.8;p = 0.03), and average or advanced educational degree (advanced education: OR: 22.9; CI: 2.6-202.7; p = 0.005; average education: OR: 8.5; CI: 1.2-59.6; p = 0.03). Eighty-one patients (58.7%) expressed their need of information on quality web pages. Conclusions. Many patients use Internet for medical purposes in our environment and even more consider to use it in the future. It is important to be aware of this fact and facilitate information about quality web pages for interested patients
Subject(s)
Humans , Internet , Patients , Information Dissemination , Patient Education as Topic , Autoimmune DiseasesABSTRACT
Hepatic involvement during heat stroke appears frequently. In some severe and rare cases liver transplantation is needed. We report a case of a 31 years old man, amateur runner, who suffered heat stroke-related acute liver failure, rhabdomyolysis, renal failure and coagulation im-pairment during a marathon. High environmental temperature, exercise duration and height where race took place could be involved. Patient had a favourable course with conservative treatment being discharged in a few days.
Subject(s)
Heat Stroke/complications , Liver Failure, Acute/etiology , Adult , Humans , MaleABSTRACT
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