Causal analysis of the impact of homecare services on patient discharge disposition.

This study uses observational causal inference to evaluate the impact of different combinations of home care services (nursing, therapies, social work, home aides) on end-of-episode disposition for individuals with chronic diseases associated with the circulatory, endocrine, and musculoskeletal systems. The potential to generate actionable recommendations for personalizing home care services, or treatment plans, from limited clinical and care needs data is demonstrated. For patients with chronic disease in the circulatory or musculoskeletal systems, a 2.91% and 3.38% decrease, respectively, in acute care hospitalization rates could be obtained by providing patients with therapy and nursing services, rather than therapy services alone.

Understanding the endocrinopathies associated with the treatment of childhood cancer: part 2.

This is part 2 of an article exploring the endocrinopathies associated with cancer treatments, a growing area of care. More than 80% of all childhood cancers are treatable and the number of survivors of childhood cancer is increasing, but up to two thirds of these children reportedly present with significant health problems resulting from their treatments and about 25% of survivors have endocrine problems. This article explains how an understanding of oncology and endocrinology enables nurse specialists to educate young people about their past treatment, and its implications for their current and future health. It focuses on the specific endocrine risks to survivors of childhood cancer following treatment with chemotherapy and radiotherapy. This is the final article in a series that has illustrated the breadth of work undertaken by nurse specialists in endocrinology and oncology.

Understanding the endocrinopathies associated with the treatment of childhood cancer: part 1.

This article explores endocrinopathies associated with late effects of treatments for childhood cancers. It is the first of two articles on the subject, the second to be published in November. This is a growing area of care, as more than 80% of all childhood cancer is treatable, resulting in an increase in survivors of childhood cancer. However, up to two thirds of these children are reported to present with significant health problems resulting from their treatments, and approximately 25% of survivors have endocrine problems. This article explains how an understanding of oncology and endocrinology enables nurse specialists to educate young people about their past treatment and its implications for their health. This knowledge is the foundation for individually-tailored care plans that enable young people to be confident to self-care and self-monitor their long-term health.

Síndrome de Ovario Poliquístico: Donde estamos y hacia donde dirigirnos / Polycystic Ovary Syndrome: Where we are and where to go

OBJETIVO: Sintetizar la información con mayor relevancia sobre los criterios diagnósticos del SOP y revisar los principales estudios de prevalencia. Material Y método: Estudio de revisión de la literatura. Se realiza una búsqueda avanzada en MEDLINE con las siguientes palabras clave: PCOS AND diagnostico criteria, PCOS AND prevalence. RESULTADOS: Se obtienen más de 3000 artículos seleccionando 27 de ellos en base a su relevancia, autores, factor impacto de la revista y fecha de publicación. CONCLUSIONES: El SOP puede clasificarse en 4 fenotipos según la presencia de tres criterios diagnósticos: SOP clásico (oligo/anovulación + hiperandrogenismo + ovarios poliquísticos (OP)), SOP clásico sin OP (oligo/anovulación + hiperandrogenismo), SOP ovulatorio hiperandrogenismo + OP), SOP sin hiperandrogenismo (oligo/anovulación + OP). Consideramos que lo más importante y determinante será el establecer La morbilidad (problemas reproductivos, síndrome metabólico, enfermedad cardiovascular, riesgo de cáncer) para cada fenotipo o presentación del síndrome

OBJECTIVE: To analyze and discuss the latest in the literature about PCOS diagnostic criteria and to review today prevalence. MATERIAL AND METHOD: Review of the literature. A search in MEDLINE was performed with the following keywords: PCOS AND diagnostic criteria, PCOS and prevalence. RESULTS: There was over 3000 articles as a result and we selected 27 based on the relevance, authors, journal impact factor and date of publication. CONCLUSIONS: PCOS can be classified into four phenotypes according to the presence or not of three diagnostic criteria: Classic PCOS: (oligo/anovulation + hyperandrogenism + polycystic ovaries (PO)), Classic PCOS w/out PO (oligo/anovulation + hyperandrogenism), Ovulatory PCOS (hyperandrogenism + PO), PCOS w/out hyperandrogenism (oligo/anovulation + PO). We think that the most important step will be to establish each phenotype morbidity (in terms of reproductive problems, metabolic syndrome, ardiovascular disease risk, cancer risk)

[Services portfolio of a department of endocrinology and clinical nutrition]. / Cartera de Servicios de Endocrinología y Nutrición.

Endocrinology and Clinical Nutrition are branches of Medicine that deal with the study of physiology of body glands and hormones and their disorders, intermediate metabolism of nutrients, enteral and parenteral nutrition, promotion of health by prevention of diet-related diseases, and appropriate use of the diagnostic, therapeutic, and preventive tools related to these disciplines. Development of Endocrinology and Clinical Nutrition support services requires accurate definition and management of a number of complex resources, both human and material, as well as adequate planning of the care provided. It is therefore essential to know the services portfolio of an ideal Department of Endocrinology and Clinical Nutrition because this is a useful, valid and necessary tool to optimize the available resources, to increase efficiency, and to improve the quality of care.

Pharmacotherapeutic uses of hormones.

This article reviews the use of hormones and related molecules in pharmacology. Examples of hormones in the treatment of specific diseases is presented, including those where normal physiologic levels of hormones are restored, and others where supraphysiologic levels are used to achieve a therapeutic effect. Examples of the abuse of hormones are also described.

Revisión de conocimientos sobre cuidados a pacientes con problemas endocrinometabólicos / Review of knowledge on the care of patients with endocrine-metabolic problems

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