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Effects of weather types on hospital admissions for respiratory diseases in Castilla-La Mancha, Spain

Effects of weather types on hospital admissions for respiratory diseases in Castilla-La Mancha, Spain

As indicated above, respiratory hospital admissions were highest in winter and spring, and therefore we selected these two periods for the following studies. We classified each day of these two periods and determined the corresponding CWTs, selecting only dominant situations (Table II). In our case, the reduction of 26 initial CWTs into eight dominant situations showed that the weather types for the winter were NE, E, SE, SW, W, C, A, and HASW, this latter type representing days that could not be unequivocally assigned to a pure type situation. These eight types included a total of 444 days (70.5% of the total). For the spring, the classification revealed that the eight dominant types were NE, E, SW, W, N, C, A, and HANW, which included 473 Table IV. Total number and daily average (in parentheses) of hospital admissions for RD over the seven years studied.

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TítuloTrends in hospital admissions, re admissions, and in hospital mortality among HIV infected patients between 1993 and 2013: impact of hepatitis C co infection

TítuloTrends in hospital admissions, re admissions, and in hospital mortality among HIV infected patients between 1993 and 2013: impact of hepatitis C co infection

Results. A total of 22,901 patient-years were included in the analysis, with 6917 hospital admissions, corresponding to 1937 subjects (75% male, mean age 36 ± 11 years, 37% HIV/HCV co-infected patients). The median length of hospital stay was 8 days (5–16), and the 30-day hospital re-admission rate was 20.1%. A significant decrease in hospital admissions related with infectious and psychiatric diseases was observed in the last period (2003–2013), but there was an increase in those related with malignancies, cardiovascular, gastrointestinal, and chronic respiratory diseases. In-hospital mortality remained high (6.8% in the first period vs. 6.3% in the second one), with a progressive increase of non-AIDS-defining illness deaths (37.9% vs. 68.3%, P < .001). The admission rate significantly dropped after 1996 (4.9% yearly), but it was less pronounced in HCV co-infected patients (1.7% yearly).

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Hospital admissions due to alcohol related disorders among young adult refugees who arrived in Sweden as teenagers - a national cohort study

Hospital admissions due to alcohol related disorders among young adult refugees who arrived in Sweden as teenagers - a national cohort study

Results: Compared to native Swedes, hospital admissions due to alcohol related disorders were less common in young refugees, with a hazard ratio (HR) of 0.65 and 95% confidence interval (CI) between 0.56 and 0.77. These risks were particularly lower among young female refugees. However, there were some differences across the refugee population. For example, the risks were higher in unaccompanied (male) refugees than accompanied ones (HR = 1.49, 95% CI = 1.00 – 2.19), also when adjusted for age, domicile and income. While the risks were lower in young refugees from Former Yugoslavia and the Middle East relative to native Swedes, independent of their length of residence in Sweden, refugees from Somalia who had lived in Sweden for more than ten years showed increased risks (HR = 2.54, 95% CI = 1.71 – 3.76), after adjustments of age and domicile. These risks decreased considerably when income was adjusted for.

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Clinical audit of COPD patients requiring hospital admissions in Spain: AUDIPOC study.

Clinical audit of COPD patients requiring hospital admissions in Spain: AUDIPOC study.

Analysis of Hospital Variability in Case Recruitment Table 4 displays the mean and 50% credible intervals of the posterior distribution of regression coefficients in the final models, as well as the corresponding average odds ratio (OR). The positive/negative signs in front of their values indicate the same/ opposite direction of effects. The number of interim ECOPD cases recruited was positively associated with variables somehow related to COPD awareness such as number of cases admitted in the year prior to the study, existence of a COPD clinical management protocol, or the availability of respiratory physicians in the ED. By contrast they were negatively associated with variables related to hospital size and complexity, including case-mix index, number of beds, existence of an early discharge scheme or domiciliary hospitalisation, number of respiratory physicians, or being a university-affiliated hospital (Table 4, upper panel). On the other hand, the proportion of interim cases that became definite was positively associated with hospital size and complexity and negatively associated with hospital COPD awareness (exceptions were university affiliated and medical training hospitals, for which the probability of an interim case becoming definite decreased) (Table 4, lower panel). Interestingly, both the number of interim ECOPD cases and the proportion of definite cases rose with the availability of hospital documents in electronic format. In any case, a large component of the hospital-related variance in the number of interim ECOPD cases recruited initially (calculated as a 45-fold change) and the proportion of interim cases that become definite Table 1. Provisional and definitive inclusion and exclusion criteria.

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Resultados negativos asociados con medicamentos como causa de ingreso hospitalario

Resultados negativos asociados con medicamentos como causa de ingreso hospitalario

Results: In 27 cases (16.6%; 95% confidence interval [CI], 1.6-23.0), negative clinical outcomes associated with medication were considered to be the main cause of hospital admission. The most frequent negative clinical outcomes associated with medication were untreated health problems, non-quantitative ineffectiveness, and quantitative safety problems respectively. The overall prevalence of preventable admissions due to negative clinical outcomes associated with medication was 88.9%; (95% CI, 71.9-96.1). With regards to severity, 74.1% (95% CI, 55.3-86.1) of the total admissions were moderate. The most common drugs implicated in hospital admissions were: antibacterial for systemic use, cardiovascular, and non steroidal anti-inflammatory agents. Apart from age, no other factors were found for hospital admissions due to negative results associated with medication.

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Tendencias en la hemorragia gastrointestinal en la Comunidad Valenciana (2000-2005). Relación con la venta de antiinflamatorios no esteroideos y supresores de ácido

Tendencias en la hemorragia gastrointestinal en la Comunidad Valenciana (2000-2005). Relación con la venta de antiinflamatorios no esteroideos y supresores de ácido

in the pharmacy invoices submitted to the VHA. Moreover, our study did not consider other factors, pharmacological or not, influencing the incidence of gastrointestinal haem- orrhages. It would also have been of great interest to have analysed trends by age group and gender, since the incidence of GI bleeding may be dropping among the young and rising among the elderly. However, the monthly invoices sent to the VHA do not include information about patients. Another issue is that the Region of Valencia in Spain is an impor- tant tourist area with a considerable rise in the population during the summer months. This change is not reflected in the rates, but is shown in the number of hospital admissions and, at least for national tourists, in figures of consump- tion of drugs. This characteristic suggests that the fall in the incidence of GI bleeding and the consumption of NSAIDs and PPIs during the summer months is probably more pro- nounced than that described, since some of the cases refer to people who are not residents of Valencia, but who are there on holidays. Another factor that affects the rates is that the growth in the population corresponds to the influx of immigrants from outside the European Community, who are usually minors and young adults, with a very low risk of digestive bleeding (and, probably, with lower PPI and NSAID

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Características de los Recién Nacidos de embarazos múltiples en los hospitales de Coronel Oviedo, San Lorenzo y Ciudad del Este

Características de los Recién Nacidos de embarazos múltiples en los hospitales de Coronel Oviedo, San Lorenzo y Ciudad del Este

4. Villamonte W, Lam N, Ojeda E. Factores de riesgo del parto pretérmino Instituto Materno Perinatal. Revista Peruana de Ginecología y Obstetricia. 2015;47(2):112-116. 5. Becerra-Mojica CH, Díaz-Martínez LA, Contreras- García GA, Beltrán-Avendaño A., Salazar-Martínez H. A, Gutiérrez-Sánchez A., Montezuma-Niño L. C. Desenlaces materno-fetales de los embarazos gemelares atendidos en el Hospital Universitario de Santander, Bucaramanga (Colombia), 2007-2011. Estudio de cohorte. Revista Colombiana de Obstetricia y Ginecología. 2015;66(1):37-45. 6. Centro Nacional de Excelencia Tecnológica en Salud. Diagnóstico y manejo del embarazo multiple. México: Secretaría de Saludo; 2013.

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Cirugía del día: colecistectomía laparoscópica

Cirugía del día: colecistectomía laparoscópica

Material y método: estudio cooperativo (Hospital de Clínicas, Hospital Español y Hospital Central de las Fuerzas Armadas) ob- servacional descriptivo y retrospectivo de pacientes en que se practicó una colecistectomía laparoscópica (CIE-9-mc 51.23) como cirugía del día entre junio de 2011 y junio de 2015. Se consideró cirugía del día una estancia igual o menor a 12 horas. Cri- terios de inclusión: ASA I/II, domicilio en área urbana con adecuada contención, teléfono y transporte particular. Exclusión: pa- cientes con colecistitis, diagnóstico preoperatorio de coledocolitiasis, eventos anestésicos-quirúrgicos adversos. Se recabaron datos demográficos, incidentes y complicaciones de la cirugía, evolución posoperatoria a 30 días.

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Los hospitales de la ciudad de Campeche  De la colonia al porfirismo

Los hospitales de la ciudad de Campeche De la colonia al porfirismo

The history of the hospitals of the city and port of Campeche, began at Mexico colonial times. The foundation of hospitals coincided the presence of diseases, Roman catholic religious orders and social problems. Between 1541 and 1900 the fol- lowing hospitals were founded: Hospital de Nuestra Señora de los Remedios later known as Hospital de San Juan de Dios (Hospital of St. John of God) or the City Hospital Dr. Manuel Campos; Hospital de San Lázaro (Hospital of St. Laz- arus for lepers); Casa de Cuna y de Dementes (Asylum for Children and the insane); Hospital Militar (Military Hospital); Hospital San Roque (Hospital of St. Roque), and the Casa de Beneficencia (Welfare House).

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Memoria 2005

Memoria 2005

La transferencia de financiación de explotación inicialmente aprobada por la Junta de Andalucía para el ejercicio 2005 fue de 44.043.146 euros. Sin embargo, esta transferencia se vio incrementada en 1.515.717 euros -procedentes de los ingresos por prestación de servicios al SAS, que disminuyeron en la misma cuantía- y 1.900.000 euros, para la financiación del nuevo Hospital de Alta Resolución Sierra de Segura. Posteriormente, la transferencia de financiación de explotación se aumentó en 303.872 euros, para la financiación de los traba- jos relacionados con el Plan de Apoyo a la Familia. Por último, se incrementó la transferencia en 100.000 euros para completar la finan- ciación de los gastos de explotación del presente ejercicio, elevándose el exceso de transferencia a 31 de diciembre de 2005 a 2.728,05 euros (ver punto 4.7). Por último, cabe mencionar, que han quedado pendientes de pago a 31 de diciembre, 8.188.207,18 euros.

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Unidad de hospital de día PAIMM/RETORN 

Unidad de hospital de día PAIMM/RETORN 

El hospital de día forma parte de la Intervención Grupal del Programa de Conductas Adictivas del P/R, tiene una capacidad de 15 plazas y el personal está inte- grado por un psiquiatra coordinador, tres psicólogos a tiempo parcial y una enfermera a tiempo completo. Se trabaja a partir de un calendario organizado, realizando un abordaje integral de 16 jornadas repartidas en cuatro semanas, combinado intervenciones psicoeducativas y psicoterapéuticas para tratar los aspectos relacionados con la adicción y el proceso de deshabituación.

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Objetivos: determinar la frecuencia de neurofobia en estudiantes de postgrado de Medicina Interna del Hospital de Clínicas, Hospital Nacional de Itauguá, Hospital Militar Central e Instituto de Previsión Social. Materiales y métodos: diseño observacional y descriptivo de corte transversal. La herramienta utilizada fue un cuestionario diseñado para identificar la afinidad o aversión hacia las diferentes subespecialidades que componen la medicina interna y posteriormente, re interrogar sobre las eventuales causas subjetivas de la misma.

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Urgencias pediátricas en un hospital comarcal

Urgencias pediátricas en un hospital comarcal

Hemos realizado un estudio sobre la demanda asistencial de la población pediátrica (menores de 15 años) durante el año 1991 en el Servicio de Urgencias de nuestro hospital comarcal (Hospital Sant Jaume d'Olot, provincia de Girona). Nos hemos basado en el diagnóstico de salida de 3.142 consultas pediátricas atendidas en nuestro Servicio de Urgencias durante el período enero 1991.diciembre 1991, y que fue del 19,34 % del total de las urgencias. En niños menores de 4 años predomina claramente la patología de tipo médico sobre la quirúrgica y/o traumática. En este grupo de edad, la causa más frecuente de consulta la constituyen las infecciones, en su mayoría cuadros compatibles con infecciones víricas. Se observa un ascenso de la asistencia por patología quirúrgica y/o traumatología en edades comprendidas entre 4 y 5 años, igualando a la asistencia por causas médicas. Persisten las infecciones, especialmente las

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La responsabilidad social empresarial como una característica de la identidad organizacional en hospitales brasileños

La responsabilidad social empresarial como una característica de la identidad organizacional en hospitales brasileños

Social Responsibility has been researched and studied in detail over the last ten years. This fact has led to relate social responsibility with a wide range of internal and external aspects of organizations and the society. It constitutes a question of the research and analysis of social responsibility as an Organizational Identity characteristic in Brazilian Hospitals and the way it materializes. This question refers to the situation that, both in national or foreign literature, no work was found on the theme of Social Responsibility in the conception as being a characteristic of Organizational Identity The theoretical framework consists of three chapters that deal with, respectively, social responsibility, organizational identity and the scenario at Brazilian hospitals. The thesis was based on the model proposed by Hatch and Schult. In the empirical field, there were two research approaches: the first documentary, and served as a basis for the elaboration of a mathematical model that would classify hospitals on a scale by incorporation rate; the second consisted of a case study, by means of interviews at the hospital that obtained the highest score to validate the modeling. It was concluded that social responsibility is a characteristic of organizational identity in Brazilian hospitals and its forms of materialization were also identified.

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Frecuencia de factores de no adherencia al tratamiento de infecciones de transmisión sexual virus de inmunodeficiencia humana en la población lesbiana gay transexual bisexual  intersexual en la provincia de Chiclayo de enero a septiembre del año 2018

Frecuencia de factores de no adherencia al tratamiento de infecciones de transmisión sexual virus de inmunodeficiencia humana en la población lesbiana gay transexual bisexual intersexual en la provincia de Chiclayo de enero a septiembre del año 2018

Objectives: To identify the frequency of factors of non-adherence to sexually transmitted infections-human immunodeficiency virus (STI-HIV) treatment in the population Lesbians, Gays, Bisexuals, Transsexuals, Intersexuals (LGTBI) during the period January to September 2018 in the district of Chiclayo. Materials and methods: A descriptive, cross-sectional, quantitative study was conducted at the Almanzor Aguinaga Asenjo Hospital, the Las Mercedes Teaching Hospital and the Lambayeque Regional Hospital, where 304 patients were taken who also received antiretroviral treatment because of their condition of being infected by the human immunodeficiency virus and in those who apply the CEAT-HIV survey was applied, which has been validated and adapted to be detected in Peruvian with a value of α= 0.706 to assess the adherence or non-adherence to their antiretroviral treatment. Results: It was determined that of the 304 patients involved, only 200 (63.3%) were classified as Non-Adherents to the Treatment, of which the highest percentage was constituted by people between the ages of 26 and 35 (35%) with Major proportion of Gay and Bisexual members (41% and 34% respectively). It was the modulator "Patient medical relationship", which showed that only 61.5% of the population does not adhere, has a good relationship with their doctor and the modulator "Strategies to improve adherence", 52.5% did not use any method or plan for a better attachment to your treatment. Conclusions: The modulators “Strategies to improve adherence” and “patient beliefs” are those factors that have the highest proportion of patients (> 50%) and those that influence the lack of adherence to treatment for STI-HIV.

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Aplicación web para la gestión de citas médicas de los usuarios del primer nivel al segundo nivel de atención al Distrito de Salud Nro. 04D01 de la ciudad de Tulcán, provincia del Carchi

Aplicación web para la gestión de citas médicas de los usuarios del primer nivel al segundo nivel de atención al Distrito de Salud Nro. 04D01 de la ciudad de Tulcán, provincia del Carchi

Segundo nivel de atención: este nivel comprende todas las acciones y servicios de atención ambulatoria especializada y aquellas que requieran hospitalización (hospital básico y general con sus diferentes grados de complejidad). Constituye el escalón de referencia inmediata del primer nivel de atención. En este nivel se desarrollan nuevas modalidades de atención no basadas exclusivamente en la cama hospitalaria, sino en el tipo de servicio brindado: centro clínico quirúrgico ambulatorio (modalidad hospital del día y cirugía mayor ambulatoria).

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Hoy damos la noticia de su muerte en el frente de Tolosa. Las balas acabaron con una vida joven y entusiasta. Ayer llevamos el cuerpo de Bernardo Elizondo a su última morada, desde el Hospital Civil o de San Antonio Abad. Con nosotros, muchísimos compañeros, le acompañaron. El ataúd iba envuelto en una bandera roja, símbolo antifascista. La comitiva recorrió las calles de San Francisco, Paseo de Colón, Peña y Goñi, Avenida de Kursaal, Alameda (impares), Elcano Avenida de la Libertad, Iztueta y Paseo de Atocha, despidiéndose al inolvidable camarada frente a la fábrica de tabacos y enterrándolo en el cementerio de Polloe de San Sebastián. Durante el trayecto saludaron al cadáver numerosos compañeros desde los balcones del Círculo Socialista, Palacio de la Diputación y Unión Tabaquera. Con Elizondo se nos ha ido un excelente elemento en esta lucha por la democracia y la libertad del país. Afiliado a Acción nacionalista, figuró reiteradamente en empresas de responsabilidad. Fue periodista, igualmente, puesto que figuró en la Redacción de “Tierra Vasca”, órgano de aquel partido, que se publicó en San Sebastián hace unos años. Paz a sus restos en la madre tierra. Y nuestra cariñosísima condolencia a la compañera del finado y demás familia.

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Cuatro etapas en la historia del Centro Mdico Nacional Siglo XXI del IMSS

Cuatro etapas en la historia del Centro Mdico Nacional Siglo XXI del IMSS

El Hospital General era un gran edifi cio de 10 pisos que contaba con 400 camas. El Dr. Manuel Quijano Narezo fue el primer director del establecimiento, durante su gestión se favoreció el crecimiento pro- fesional y académico del personal, así como el desa- rrollo de la investigación. Hasta 1970 disponía de un servicio de psiquiatría, año en que se consideró que dicha especialidad no correspondía a un hospital gene- ral; tuvo un excelente departamento para la atención de urgencias médicas y quirúrgicas, organizado por el Dr. Fernando González Montesinos y la Dra. Adalia Lee. El hospital tenía ocho auditorios que aún se con- servan, sobre el exterior de los mismos hay relieves de piedra en diversos colores, que recuerdan la histo- ria de la medicina mundial. En octubre de 1980 le fue agregado un edifi cio de dos pisos, dedicado a servicios quirúrgicos. Gran parte de la construcción de este hos- pital resistió el sismo.

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Hospital de Jesús. Desde 1524 en funcionamiento

Hospital de Jesús. Desde 1524 en funcionamiento

En el imponente Salón del Patronato, con un techo mudéjar con figuras de papel de oro, único en la Ciudad de México, el doctor Julián Gascón Mercado, tres veces patrono del Hospital, nos comenta que “Faltan 13 años para que este Hospital cumpla 500 años de trabajo in- interrumpido. No hay en el mundo cinco hospitales que hayan logrado sostenerse activos en el mismo lugar. Eso es un orgullo para la planta médica nacional y con- tinental”. Detrás de su mesa esta una pintura novohis- pánica de la Inmaculada Concepción y el salón está rodeado de retratos de Hernán Cortes y sus descen- dientes 13-16 .

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Infection and Predictors of Outcome of Cirrhotic Patients after Emergency Care Hospital Admission

Infection and Predictors of Outcome of Cirrhotic Patients after Emergency Care Hospital Admission

lent predictive power of CLIF-SOFA in a cohort of emer- gency admissions of cirrhotic patients that were remarkably similar to our cohort as far as clinical baseline parameters are concerned. However, overall mortality was lower, perhaps reflecting the lower proportion of patients with infection in that study. In our cohort CLIF-C-ACLF showed the highest concordance index among all tested scores. This score was derived from CLIF-SOFA and in- cludes white blood cell count as a parameter of inflamma- tion. Despite that, we detected statistical interaction between presence of infection and the association be- tween either CLIF-SOFA or CLIF-C-ACLF and mortali- ty (Figures 2 and 3). Upon separate analysis of parameters predicting mortality, two different models were found for patients with and without infection, respectively.

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