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Faecal immunochemical test outside colorectal cancer screening?
No full textFaecal immunochemical tests (FITs) are the most widely colorectal cancer (CRC) diagnostic biomarker available. Many population screening programmes are based on this biomarker, with the goal of reducing CRC mortality. Moreover, in recent years, a large amount of evidence has been produced on the use of FIT to detect CRC in patients with abdominal symptoms in primary healthcare as well as in surveillance after adenoma resection. The aim of this review is to highlight the available evidence on these two topics. We will summarize the evidence on diagnostic yield in symptomatic patients with CRC and significant colonic lesion and the different options to use this (thresholds, brands, number of determinations, prediction models and combinations). We will include recommendations on FIT strategies in primary healthcare proposed by regulatory bodies and scientific societies and their potential effects on healthcare resources and CRC prognosis. Finally, we will show information regarding FIT-based surveillance as an alternative to endoscopic surveillance after high-risk polyp resection. To conclude, due to the coronavirus disease 2019 pandemic, FIT-based strategies have become extremely relevant since they enable a reduction of colonoscopy demand and access to the healthcare system by selecting individuals with the highest risk of CRC
One Year of the COVID-19 Pandemic in Galicia: A Global View of Age-Group Statistics during Three Waves
No full textIn this work we look at the past in order to analyze four key variables after one year of the COVID-19 pandemic in Galicia (NW Spain): new infected, hospital admissions, intensive care unit admissions and deceased. The analysis is presented by age group, comparing at each stage the percentage of the corresponding group with its representation in the society. The time period analyzed covers 1 March 2020 to 1 April 2021, and includes the influence of the B.1.1.7 lineage of COVID-19 which in April 2021 was behind 90% of new cases in Galicia. It is numerically shown how the pandemic affects the age groups 80+, 70+ and 60+, and therefore we give information about how the vaccination process could be scheduled and hints at why the pandemic had different effects in different territories
Itinerario formativo especialidad enfermería opsiquiatría. INT-XXIPS-EPS-01-2021
No full textGuía del itinerario formativo de los residentes en el servicio de Enfermería Psiquiátrica del Complejo Hospitalario Universitario de Pontevedra.Guía do itinerario formativo dos residentes no servizo de Enfermería Psiquiátrica do Complexo Hospitalario Universitario de Pontevedra
Guía itinerario formativo pregrado y postgrado servicio: Oftalmología. INT-XXIPS-OFT-01-2021
No full textGuía do itinerario formativo dos residentes no servizo de Oftalmoloxía do Complexo Hospitalario Universitario de Pontevedra.Guía del itinerario formativo de los residentes en el servicio de Oftalmología del Complejo Hospitalario Universitario de Pontevedra
Clinical Characteristics and Prognosis of COPD Patients Hospitalized with SARS-CoV-2
Get PDFObjective
To describe the characteristics and prognosis of patients with COPD admitted to the hospital due to SARS-CoV-2 infection.
Methods
The SEMI-COVID registry is an ongoing retrospective cohort comprising consecutive COVID-19 patients hospitalized in Spain since the beginning of the pandemic in March 2020. Data on demographics, clinical characteristics, comorbidities, laboratory tests, radiology, treatment, and progress are collected. Patients with COPD were selected and compared to patients without COPD. Factors associated with a poor prognosis were analyzed.
Results
Of the 10,420 patients included in the SEMI-COVID registry as of May 21, 2020, 746 (7.16%) had a diagnosis of COPD. Patients with COPD are older than those without COPD (77 years vs 68 years) and more frequently male. They have more comorbidities (hypertension, hyperlipidemia, diabetes mellitus, atrial fibrillation, heart failure, ischemic heart disease, peripheral vascular disease, kidney failure) and a higher Charlson Comorbidity Index (2 vs 1, p<0.001). The mortality rate in COPD patients was 38.3% compared to 19.2% in patients without COPD (p<0.001). Male sex, a history of hypertension, heart failure, moderate–severe chronic kidney disease, presence of cerebrovascular disease with sequelae, degenerative neurological disease, dementia, functional dependence, and a higher Charlson Comorbidity Index have been associated with increased mortality due to COVID-19 in COPD patients. Survival was higher among patients with COPD who were treated with hydroxychloroquine (87.1% vs 74.9%, p<0.001) and with macrolides (57.9% vs 50%, p<0.037). Neither prone positioning nor non-invasive mechanical ventilation, high-flow nasal cannula, or invasive mechanical ventilation were associated with a better prognosis.
Conclusion
COPD patients admitted to the hospital with SARS-CoV-2 infection have more severe disease and a worse prognosis than non-COPD patients
[Medicina Familiar y Comunitaria del Área Sanitaria de Ferrol. Vídeo Docencia 2021]
No full textVídeo de presentación de Medicina Familiar y Comunitaria del Área Sanitaria de Ferrol para futuros residentes.Vídeo de presentación de Medicina Familiar e Comunitaria da Área Sanitaria de Ferrol para futuros residentes
Cambiar estilos de citación con Zotero: vídeo tutorial (con audio)
No full textZotero5El vídeo describe como podemos cambiar los estilos de citación bibliográfica con Zoter
Uptodate. Cómo buscar información
No full textUptodate6El vídeo explica cómo buscar información en Uptodat