Prevención de la mucositis bucal inducida por la radioterapia de cabeza y cuello

La mucositis es una importante complicación de la radioterapia de cabeza y cuello que tiene un notable impacto en la calidad de vida del paciente, puede condicionar la nutrición y forzar la interrupción de la radioterapia, comprometiendo el pronóstico de la enfermedad neoplásica. Este artículo presenta los resultados de un estudio retrospectivo que recoge la experiencia de un año aplicando un protocolo de prevención y tratamiento de mucositis inducida por radioterapia, que incluye colutorios con clorhexidina, bencidamina y sucralfato. Aparecen diferencias significativas en las semanas 3' y 5' de tratamiento a favor de los pacientes que siguieron el protocolo

Assessment of non-adherence to external radiotherapy treatment in cancer patients in Catalonia,Spain

Purpose or Objective: Non-adherence to external radiotherapy is an aspect of treatment which has not been fully explored. The objective of this study is to analyse the relevance of this problem and its impact on 1-year surviva

Undergraduate cancer education in Spain: The debate, the opportunities and the initiatives of the University Forum of the Spanish Society of Radiation Oncology (SEOR)

Most medical schools in Spain (80%) offer undergraduate training in oncology. This education is highly variable in terms of content (theory and practical training), number of credits, and the medical specialty and departmental affiliation of the professors. Much of this variability is due to university traditions in the configuration of credits and programmes, and also to the structure of the hospital-based practical training. Undergraduate medical students deserve a more coherent and modern approach to education with a strong emphasis on clinical practice. Oncology is an interdisciplinary science that requires the input of professors from multiple specialties to provide the primary body of knowledge and skills needed to obtain both a theoretical and clinical understanding of cancer. Clinical skills should be a key focus due to their importance in the current model of integrated medical management and care.Clinical radiation oncology is a traditional and comprehensive hospital-based platform for undergraduate education in oncology. In Spain, a significant number (n[[ce:hsp sp="0.25"/]]=[[ce:hsp sp="0.25"/]]80) of radiation oncology specialists have a contractual relationship to teach university courses. Most Spanish universities (80%) have a radiation oncologist on staff, some of whom are department chairs and many others are full professors who have been hired and promoted under competitive conditions of evaluation as established by the National Agency for Quality Evaluation.The Spanish Society of Radiation Oncology (SEOR) has identified new opportunities to improve undergraduate education in oncology. In this article, we discuss proposals related to theoretical (20 items) and practical clinical training (9 items). We also describe the SEOR University Forum, which is an initiative to develop a strategic plan to implement and organize cancer education at the undergraduate level in an interdisciplinary teaching spirit and with a strong contribution from radiation oncologists

Prevención de la mucositis bucal inducida por la radioterapia de cabeza y cuello

La mucositis es una importante complicación de la radioterapia de cabeza y cuello que tiene un notable impacto en la calidad de vida del paciente, puede condicionar la nutrición y forzar la interrupción de la radioterapia, comprometiendo el pronóstico de la enfermedad neoplásica. Este artículo presenta los resultados de un estudio retrospectivo que recoge la experiencia de un año aplicando un protocolo de prevención y tratamiento de mucositis inducida por radioterapia, que incluye colutorios con clorhexidina, bencidamina y sucralfato. Aparecen diferencias significativas en las semanas 3' y 5' de tratamiento a favor de los pacientes que siguieron el protocolo

Integration of palaeomagnetic data, basement-cover relationships and theoretical calculations to characterize the obliquity of the Altomira-Loranca structures (central Spain)

The main objective of this work is to characterize the structures belonging to the Altomira Range and Loranca Basin (SW Iberian Chain, Central Spain) in terms of understanding their present-day orientation, highly oblique with respect to the NW-SE orientation of adjacent structures of the Iberian Chain. The Altomira and Loranca fold and thrust belts present a slightly curved geometry with a general north-south orientation at their central sector, and structures oriented NNE-SSW and north-south to NNW-SSE at their northern and southern sectors, respectively. Palaeomagnetic data from Middle Eocene-Lower Miocene rocks (including clays, fine sandstones and limestones) reveal the absence of vertical-axis rotations in the central sector of the studied area, where structures are oriented north-south, and up to 17° of clockwise and 21° of anticlockwise vertical-axis rotations in the northern and southern sectors, respectively. These data are supported by calculations of the theoretical vertical-axis rotations from shortening estimates and basement-cover structural relationships. This approach highlights the importance of integrating different datasets to characterize the obliquity of fold and thrust belts. © 2016 The Author(s).This work was funded by the project KINESAL (CGL2010-21968-C02-02) of the Spanish Ministry of Economy and Competitiveness and a PhD-IGME grant for the first author. It is a contribution of the Geomodels Research Institute and the Grup de Recerca de Geodinámica i Análisi de Conques (2014SGR467, supported by the Agència de Gestió d’Ajuts Universitaris i de Recerca and the Secretaria d’Universitats i Recerca del Departament d’Economia i Coneixement de la Generalitat de Catalunya).Peer reviewe

The Prevalence of Nutritional Anaemia in Brazilian Pregnant Women: A Systematic Review and Meta-Analysis

Despite the global tendency of maternal anaemia to decline, the persistence of anaemia in Brazil is an important health problem given its vulnerability to deficiencies and the significant increase in nutritional requirements during pregnancy. The aim of this study was to estimate the prevalence of anaemia in Brazilian pregnant women through a systematic literature review and meta-analysis. The systematic review was carried out according to Systematic Reviews and Meta-Analyses PRISMA checklist recommendations and using the following electronic databases: Medline, Scopus, Embase, Web of Science, Lilacs, Scielo, Google Scholar, and CAPES Catalog of Theses and Dissertations. Studies that presented a prevalence of anaemia data in Brazilian pregnant women, considering all gestational trimesters, were included. The total sample included 12,792 pregnant women covering all gestational trimesters. The pooled prevalence of anaemia in Brazilian pregnant women was 23% (95% CI: 20–27), with the highest prevalence in the Northeast Region at 26% (95% CI 23–29), while the lowest prevalence was observed in the North Region with 17% (95% CI 14–20). Among the subgroups, no statistical difference was observed. The prevalence of anaemia status in Brazil is still classified as a moderate public health problem according to the World Health Organization maternal anaemia classification