RISalud-ANDALUCÍA
Not a member yet
18682 research outputs found
Sort by
Guía práctica de diagnóstico y manejo en la enfermedad de Charcot-Marie-Tooth en Espana
No full textCharcot-Marie-Tooth disease (CMT) is classified according to neurophysiological and histological findings, the inheritance pattern, and the underlying genetic defect. The objective of these guidelines is to offer recommendations for the diagnosis, prognosis, follow-up, and treatment of this disease in Spain. These consensus guidelines were developed through collaboration by a multidisciplinary panel encompassing a broad group of experts on the subject, including neurologists, paediatric neurologists, geneticists, physiatrists, and orthopaedic surgeons. The diagnosis of CMT is clinical, with patients usually presenting a common or classical phenotype. Clinical assessment should be followed by an appropriate neurophysiological study; specific recommendations are established for the parameters that should be included. Genetic diagnosis should be approached sequentially; once PMP22 duplication has been ruled out, if appropriate, a next-generation sequencing study should be considered, taking into account the limitations of the available techniques. To date, no pharmacological disease-modifying treatment is available, but symptomatic management, guided by a multidiciplinary team, is important, as is proper rehabilitation and orthopaedic management. The latter should be initiated early to identify and improve the patient's functional deficits, and should include individualised exercise guidelines, orthotic adaptation, and assessment of conservative surgeries such as tendon transfer. The follow-up of patients with CMT is exclusively clinical, and ancillary testing is not necessary in routine clinical practice.Ye
Resumen ejecutivo: Guía de diagnóstico y tratamiento de la artritis séptica en adultos y niños de GEIO (SEIMC), SEIP y SECOT
No full textInfection of a native joint, commonly referred to as septic arthritis, is a medical emergency because of the risk of joint destruction and subsequent sequelae. Its diagnosis requires a high level of suspicion. These guidelines for the diagnosis and treatment of septic arthritis in children and adults are intended for use by any physician caring for patients with suspected or confirmed septic arthritis. They have been developed by a multidisciplinary panel with representatives from the Bone and Joint Infections Study Group (GEIO) belonging to the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), the Spanish Society of Paediatric Infections (SEIP) and the Spanish Society of Orthopaedic Surgery and Traumatology (SECOT), and two rheumatologists. The recommendations are based on evidence derived from a systematic literature review and, failing that, on the opinion of the experts who prepared these guidelines. A detailed description of the background, methods, summary of evidence, the rationale supporting each recommendation, and gaps in knowledge can be found online in the complete document.La infección de una articulación nativa, generalmente denominada artritis séptica, constituye una urgencia médica por el riesgo de destrucción articular y las consecuentes secuelas. Su diagnóstico requiere un alto nivel de sospecha. Esta guía de diagnóstico y tratamiento de la artritis séptica en niños y adultos está destinada a cualquier médico que atienda pacientes con sospecha de artritis séptica o artritis séptica confirmada. La guía ha sido elaborada por un panel multidisciplinar en el que están representados el Grupo de Estudio de Infecciones Osteoarticulares (GEIO) de la Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica (SEIMC), la Sociedad Española de Infectología Pediátrica (SEIP) y la Sociedad Española de Cirugía Ortopédica y Traumatología (SECOT); además han participado dos reumatólogos. Las recomendaciones se basan en la evidencia proporcionada por una revisión sistemática de la literatura y, en su defecto, en la opinión de los expertos que han elaborado la presente guía. En el texto completo online se hace una descripción detallada de los antecedentes, métodos, resumen de la evidencia, fundamentos que apoyan cada recomendación y las lagunas de conocimiento existentes.Ye
Conéctate.com : pausas para el bienestar emocional.
No full textEl proyecto “Conéctate.com: pausas para el bienestar emocional” es un material didáctico para la promoción del bienestar emocional en población infantil y adolescente, consistente en la incorporación de pausas cortas (de tres a cinco minutos), al inicio o finalización de la jornada, entre clases o cuando docentes o profesionales de otros ámbitos lo consideren necesario para conseguir conectar con la atención, la calma, la activación o con la emoción.Guía didáctica
Cuadernillo de fichasYe
Let's talk about sex: consensus guidelines of the GINECOR working group of the Spanish Society of Radiation Oncology: clinical recommendations after pelvic radiotherapy.
No full textPurpose: This consensus statement was developed by the GINECOR working group on behalf of the Spanish Society of Radiation Oncology (SEOR) to address the management of sexual health in patients with gynaecological cancer following pelvic radiotherapy.
Methods: A modified two-round online Delphi study was conducted with the participation of an expert panel composed of radiation oncologists, nurses, and a gynaecologist. The panel evaluated aspects related to diagnosis, treatment, and follow-up of sexual health issues. The GRADE criteria were applied to assess the level of agreement and support evidence-based recommendations. Results: The resulting consensus recommendations focus on both diagnosis and treatment, emphasizing the use of patient-reported outcome measures (PROMs). Key recommendations include the systematic evaluation of genitourinary, gastrointestinal, and sexual symptoms, as well as the implementation of pharmacological treatments (e.g., vaginal lubricants, hormone therapy) and mechanical options (e.g., vaginal dilators, vibrators). These guidelines reflect both current scientific evidence and expert clinical experience. Conclusion: This consensus statement presents a comprehensive, multidisciplinary approach aimed at improving the sexual health and quality of life of patients with gynaecological cancers after pelvic radiotherapy. It provides specific, actionable recommendations and highlights the importance of regular, patient-centered assessment and specialized care in the management of sexual health concerns in this patient population.Ye
SEOM-GEICO Clinical Guidelines on cervical cancer (2023)
No full textCervical cancer (CC) is the fourth most common cancer and the fourth leading cause of mortality in women worldwide. It is strongly associated with high-risk human papillomavirus infection. High-income countries that have implemented human papillomavirus (HPV) vaccination and screening programs have seen dramatic reductions in CC incidence, while developing countries where these programs are not available continue to experience high rates of CC deaths. In early-stage CC, the primary treatment is surgery or radiotherapy, whereas concurrent chemo-radiotherapy (CRT) remains the conventional approach in locally advanced stages until the upcoming approval of immunotherapy. The incorporation of immunotherapy in combination with chemotherapy (with or without bevacizumab) in first line and as monotherapy in second line after platinum-based chemotherapy, has significantly increased overall survival (OS) in recurrent or metastatic CC. The purpose of this guideline is to summarize the most relevant evidence in the diagnosis, treatment, and follow-up of CC and to provide evidence-based recommendations for clinical practice.Ye
Atención al trauma grave en el embarazo: documento de apoyo.
No full textPara recoger recomendaciones de buena práctica clínica en relación al manejo de las mujeres embarazadas con trauma grave o potencialmente grave que ayuden en la toma de decisiones clínicas que disminuyan la variabilidad no justificada en la práctica clínica y consigan una atención de calidad desde el principio del proceso asistencial se plantea este documento de apoyo.Ye
Vol. 29, nº 06. Exposición prenatal a manganeso y desarrollo neuropsilógico a los 12 y 24 meses de edad en la cohorte de nacimiento geneida
No full textEnfermedades de Declaración Obligatoria por provincias. Semana 05/2024 y acumulado desde la semana 01/2024. Datos provisionales. Incluye además el artículo titulado “Exposición prenatal a manganeso y desarrollo neuropsicilógico a los 12 y 24 meses de edad en la cohorte de nacimiento geneida”, de “Vicente Barragán Vives”.Ye
Building competency to deal with environmental health challenges: experiences and a proposal.
No full textThe global landscape of professional training in environmental health, encompassing ecological public health or environmental public health, lacks consistent global implementation for training programs for public health practitioners, clinical professionals, and individuals across various disciplines, as well as standardized curricula for undergraduates. This training gap is related to the overall lack of capacity in addressing the population impacts of the triple challenge of pollution, biodiversity loss, and climate change, impeding the worldwide transition to and development of ecological sustainability. This paper reviews existing approaches and their potential to address implementation challenges within the necessarily tight timescale. Spreading of best practice appears feasible even without substantial additional resources, through the reorientation of current practices via comprehensive multi-disciplinary training programs. By adopting international best practices of training in environmental health, the focus in training and education can shift from future decision-makers to enhancing the competencies of current professionals and their institutions.The author(s) declare financial support was received for the research, authorship, and/or publication of this article. The publication of this study is part funded by the National Institute for Health and Care Research (NIHR) Health Protection Research Unit in Environmental Change and Health (NIHR 200909), a partnership between UK Health Security Agency (UKHSA) and the London School of Hygiene and Tropical Medicine (LSHTM), in collaboration with University College London and the Met Office. The views expressed are those of the author(s) and not necessarily those of the NIHR, UK Health Security Agency, London School of Hygiene and Tropical Medicine, University College London, the Met Office or the Department of Health and Social Care. SV acknowledges the HEAL (Healthy Environments and Lives) National Research Network, which receives funding from the National Health and Medical Research Council (NHMRC) Special Initiative in Human Health and Environmental Change (Grant No. 2008937).Ye
Protocolo de actuación sanitaria desde el ámbito de las urgencias ante la violencia de género: 2024
No full textCon el presente documento, se desea seguir desarrollando el abordaje a la violencia contra las mujeres en las situaciones que se atienden en los dispositivos de Urgencias Sanitarias, tanto en las Extrahospitalarias como en las Hospitalarias. Además pretende ser una herramienta que ayude al personal de salud en el ámbito de las Urgencias a prestar una atención integral a la violencia de género hacia las mujeres ejercidas por sus parejas y exparejas, así como agresiones sexuales en diferentes ámbitos.Ye
Vol. 29, nº 09. Calendario de vacunaciones de Andalucía 2024
No full textEnfermedades de Declaración Obligatoria por provincias. Semana 08/2024 y acumulado desde la semana 01/2024. Datos provisionales. Incluye además el artículo titulado “Calendario de vacunaciones de Andalucía 2024”, de “David Moreno Pérez, Marta Bernal Sánchez-Arjona, María Ángeles Onieva García, Ignacio Salamanca de la Cueva, Daniel Ocaña Rodríguez, Inmaculada Martín Caballero, Javier Álvarez Aldeán, Nicola Lorusso, José Luis Barranco Quintana”.Ye