ABSTRACT
Antecedentes y objetivos Demostrado efecto protector de la dieta mediterránea, se evaluó su seguimiento y la influencia de distintos factores en el cumplimiento dietético. Material y métodos Se realizó un estudio transversal con encuestas anónimas para obtener datos sobre características demográficas, actividad laboral, antecedentes de factores de riesgo cardiovascular, consumo de alcohol y tabaco, actividad física y consumo de dieta mediterránea. Se evaluó el cumplimiento por medio del cuestionario 14-point Mediterranean Diet Adherence Score (MEDAS) y los factores estadísticamente relacionados con el mismo. Resultados y conclusiones De 922 personas encuestadas (664 mujeres) de edad media 42,61 años (rango: 20 a 69 años), un 61,2% mostró buen cumplimiento. De manera independiente, el consumo de la dieta mediterránea se asoció con la categoría profesional, siendo superior en el personal médico (OR = 1,92; IC 95%: 1,20 a 3,06; p = 0,01) y de enfermería (OR = 1,67; IC 95%: 1,08 a 2,57) comparado con los técnicos auxiliares en cuidados de enfermería. Además, se relacionó con realizar actividad física (OR = 1,78; IC 95%: 1,29 a 2,47; p < 0,001) y cocinar en casa (OR = 1,35; IC 95%: 1,00 a 1,80; p = 0,05). Sin embargo, no se asoció significativamente con la edad, el sexo ni con la presencia de comorbilidades, con las características de la jornada laboral, ni con el consumo de alcohol ni tabaco. Convendría cuantificar el conocimiento sobre la dieta e incrementar los programas educativos, fomentando el ejercicio y el hábito culinario (AU)
Introduction and objectives Given the proven protective effect of the Mediterranean Diet, adherence to it by healthcare personnel and the influence of different factors on dietary compliance were evaluated. Methods A cross-sectional study was conducted on healthcare personnel, obtaining the data through anonymous surveys that collected demographic characteristics, professional activity, history of cardiovascular risk factors, alcohol, and tobacco consumption, physical activity, and adherence to the Mediterranean Diet, using the 14-point Mediterranean Diet Adherence Score (MEDAS). Adherence and related factors were measured. Results and conclusions Of a total of 922 respondents (664 women) mean aged 42.61 years (range 20 to 69), 61.2% showed a good adherence to the Mediterranean Diet. Adherence was significantly associated with the professional categories of physicians (OR = 1.92; 95% CI: 1.20-3.06; p = 0.01) and nurses (OR = 1.67; 95% CI: 1.08-2.57). Furthermore, it was associated with physical exercise (OR = 1.78; 95% CI: 1.29 2.47; p < 0.001) and cooking at home (OR = 1.35; 95% CI: 1.00 1.80; p = 0.05). However, adherence was not significantly associated with age or sex, comorbidities, working hours, alcohol, or tobacco consumption. Quantifying knowledge of the diet would be useful, as well as increasing educational programs, promoting physical exercise and cooking habits (AU)
Subject(s)
Humans , Male , Female , Young Adult , Adult , Middle Aged , Aged , Diet, Mediterranean , Health Personnel , Life Style , Surveys and Questionnaires , Cross-Sectional StudiesABSTRACT
INTRODUCTION AND OBJECTIVES: Given the proven protective effect of the Mediterranean Diet, adherence to it by healthcare personnel and the influence of different factors on dietary compliance were evaluated. METHODS: A cross-sectional study was conducted on healthcare personnel, obtaining the data through anonymous surveys that collected demographic characteristics, professional activity, history of cardiovascular risk factors, alcohol, and tobacco consumption, physical activity, and adherence to the Mediterranean Diet, using the 14-point Mediterranean Diet Adherence Score (MEDAS). Adherence and related factors were measured. RESULTS AND CONCLUSIONS: Of a total of 922 respondents (664 women) mean aged 42.61 years (range 20-69), 61.2% showed a good adherence to the Mediterranean Diet. Adherence was significantly associated with the professional categories of physicians (OR = 1.92; 95% CI: 1.20-3.06; p = 0.01) and nurses (OR = 1.67; 95% CI: 1.08-2.57). Furthermore, it was associated with physical exercise (OR = 1.78; 95% CI: 1.29-2.47; p < 0.001) and cooking at home (OR = 1.35; 95% CI: 1.00-1.80; p = 0.05). However, adherence was not significantly associated with age or sex, comorbidities, working hours, alcohol, or tobacco consumption. Quantifying knowledge of the diet would be useful, as well as increasing educational programs, promoting physical exercise and cooking habits.
Subject(s)
Diet, Mediterranean , Adult , Aged , Cross-Sectional Studies , Exercise , Female , Health Personnel , Humans , Middle Aged , Surveys and Questionnaires , Young AdultABSTRACT
OBJECTIVES: To describe the predictors of hospital mortality in nonagenarian patients. PATIENTS AND METHOD: We retrospectively studied 421 patients aged 90 years or older hospitalised in a department of internal medicine. Using logistic regression, we analysed the association between demographic, clinical and functional parameters and hospital mortality. RESULTS: The mean age was 92.5 years (SD±2.5), and 265 (62.9%) of the patients were women. The main diagnoses were infectious diseases (257 patients, 61%) and heart failure (183, 43.5%), and the mean stay was 11.9 days (SD±8.6). During the hospitalisation, 96 patients died (22.8%). The predictors of mortality were age (P=.002), functional state (P=.006), comorbidity (P=.018) and diagnoses of pneumonia (P=.001), sepsis (P=.012) and respiratory failure (P<.001). CONCLUSION: The hospital mortality of nonagenarian patients treated in internal medicine exceeds 20% and is associated with pneumonia, comorbidity burden and functional impairment.
ABSTRACT
Influenza virus infection (IVI) is typically subclinical or causes a self-limiting upper respiratory disease. However, in a small subset of patients IVI rapidly progresses to primary viral pneumonia (PVP) with respiratory failure; a minority of patients require intensive care unit admission. Inherited and acquired variability in host immune responses may influence susceptibility and outcome of IVI. However, the molecular basis of such human factors remains largely elusive. It has been proposed that homozygosity for IFITM3 rs12252-C is associated with a population-attributable risk of 5.4 % for severe IVI in Northern Europeans and 54.3 % for severe H1N1pdm infection in Chinese. A total of 148 patients with confirmed IVI were considered for recruitment; 118 Spanish patients (60 of them hospitalized with PVP) and 246 healthy Spanish individuals were finally included in the statistical analysis. PCR-RFLP was used with confirmation by Sanger sequencing. The allele frequency for rs12252-C was found to be 3.5 % among the general Spanish population. We found no rs12252-C homozygous individuals in our control group. The only Spanish patient homozygous for rs12252-C had a neurological disorder (a known risk factor for severe IVI) and mild influenza. Our data do not suggest a role of rs12252-C in the development of severe IVI in our population. These data may be relevant to recognize whether patients homozygous for rs12252-C are at risk of severe influenza, and hence require individualized measures in the case of IVI.
Subject(s)
Genetic Predisposition to Disease , Influenza, Human/genetics , Membrane Proteins/genetics , RNA-Binding Proteins/genetics , Adult , Aged , Case-Control Studies , Female , Gene Frequency , Genotyping Techniques , Humans , Male , Middle Aged , Polymerase Chain Reaction , Polymorphism, Restriction Fragment Length , Sequence Analysis, DNA , Spain , Young AdultABSTRACT
Tres inmigrantes de raza negra, de una misma patera, procedentes de Malí, fueron rescatados en alta mar, en grave situación clínica, consistente básicamente en deshidratación hipernatrémica y rabdomiólisis, ingresando por ello en el hospital Doctor Negrín de Las Palmas. En las radiografías de tórax se objetivó neumomediastino en los tres casos. Dos de ellos evolucionaron favorablemente tras corregir la situación de deshidratación. Uno de ellos presentó en la evolución neumonía con empiema y precisó drenaje pleural. Se comenta la rareza del neumomediastino en el adulto y los posibles factores desencadenantes, considerando como factor básico en estos casos el gran esfuerzo realizado en alta mar por dichos pacientes hasta ser rescatados
Three black Mali immigrants, sealing in the same boat, were rescued in open sea, in serious clinical situation. They were admitted at Doctor Negrin hospital (Las Palmas). Hypernatremic dehydration and rhabdomyolysis was watched and the x-rays of thorax showed pneumomediastinum in the three cases. Two of them improved quickly after dehydration correction. One of them showed pneumonia with empyema, in the evolution. He needed pleural drainage. We comment the peculiarity of the pneumomediastinum in the adulthood and the possible trigger factors. We consider essential the great effort made in open sea by these patients until they were rescued
Subject(s)
Male , Adult , Humans , Mediastinal Emphysema/epidemiology , Physical Exertion , Transients and MigrantsABSTRACT
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