El metge Jaume Claver i Granell (+ Lleida, 1714)

Jaume Claver va ser un metge lleidatà que va destacar en el camp de la Medicina local, tant en la tasca assistencial pública i privada com en la docent en l’etapa  final de l’antiga Facultat de Medicina. També mostrà la seva ideologia política de signe borbònic. Exposem en l’article els aspectes més humans, familiars i científics que el caracteritzaren.Jaume Claver fue un médico leridano que destacó en el campo de la Medicina local, tanto en la vertiente assistencial pública y privada como en la docente en la etapa final de la antigua Facultad de Medicina. También mostró su ideologia política de  signo borbónico. Exponemos en el articulo los aspectos mas humanos, familiares i científicos que lo caracterizaron

The use of faecal immunochemical testing in the decision-making process for the endoscopic investigation of iron deficiency anaemia

Background: Blood loss from the gastrointestinal (GI) tract is the most common cause of iron deficiency anaemia (IDA) in adult men and postmenopausal women. Gastroduodenal endoscopy (GDE) and colonoscopy are frequently recommended, despite uncertainty regarding the coexistence of lesions in the upper and lower GI tract. The faecal immunochemical test (FIT) measures the concentration of faecal haemoglobin (f-Hb) originating only from the colon or rectum. We aimed to assess whether the FIT was able to select the best endoscopic procedure for detecting the cause of IDA. Methods: A prospective study of 120 men and postmenopausal women referred for a diagnostic study of IDA were evaluated with an FIT, GDE and colonoscopy. The endoscopic finding of a significant upper lesion (SUL) or a significant bowel lesion (SBL) was considered to be the cause of the IDA. Results: The diagnoses were 35.0% SUL and 20.0% SBL, including 13.3% GI cancer. In the multivariate analysis, the concentration of blood haemoglobin (b-Hb) <9 g/dL (OR: 2.60; 95% CI 1.13-6.00; p = 0.025) and non-steroidal anti-inflammatory drugs NSAIDs (2.56; 1.13-5.88; p = 0.024) were associated with an SUL. Age (0.93; 0.88-0.99; p = 0.042) and f-Hb ≥ 15 μg Hb/g faeces (38.53; 8.60-172.50; p < 0.001) were associated with an SBL. A 'FIT plus gastroscopy' strategy, in which colonoscopy is performed only when f-Hb ≥15 μg Hb/g faeces, would be able to detect 92.4% of lesions and be 100% accurate in the detection of cancer while avoiding 71.6% of colonoscopies. Conclusions The FIT is an accurate method for selecting the best endoscopy study for the evaluation of IDA. An FIT-based strategy is more cost-effective than the current bidirectional endoscopy-based strategy and could improve endoscopic resource allocatio

Immigrant IBD Patients in Spain Are Younger, Have More Extraintestinal Manifestations and Use More Biologics Than Native Patients

BackgroundPrevious studies comparing immigrant ethnic groups and native patients with IBD have yielded clinical and phenotypic differences. To date, no study has focused on the immigrant IBD population in Spain. MethodsProspective, observational, multicenter study comparing cohorts of IBD patients from ENEIDA-registry who were born outside Spain with a cohort of native patients. ResultsWe included 13,524 patients (1,864 immigrant and 11,660 native). The immigrants were younger (45 +/- 12 vs. 54 +/- 16 years, p < 0.001), had been diagnosed younger (31 +/- 12 vs. 36 +/- 15 years, p < 0.001), and had a shorter disease duration (14 +/- 7 vs. 18 +/- 8 years, p < 0.001) than native patients. Family history of IBD (9 vs. 14%, p < 0.001) and smoking (30 vs. 40%, p < 0.001) were more frequent among native patients. The most prevalent ethnic groups among immigrants were Caucasian (41.5%), followed by Latin American (30.8%), Arab (18.3%), and Asian (6.7%). Extraintestinal manifestations, mainly musculoskeletal affections, were more frequent in immigrants (19 vs. 11%, p < 0.001). Use of biologics, mainly anti-TNF, was greater in immigrants (36 vs. 29%, p < 0.001). The risk of having extraintestinal manifestations [OR: 2.23 (1.92-2.58, p < 0.001)] and using biologics [OR: 1.13 (1.0-1.26, p = 0.042)] was independently associated with immigrant status in the multivariate analyses. ConclusionsCompared with native-born patients, first-generation-immigrant IBD patients in Spain were younger at disease onset and showed an increased risk of having extraintestinal manifestations and using biologics. Our study suggests a featured phenotype of immigrant IBD patients in Spain, and constitutes a new landmark in the epidemiological characterization of immigrant IBD populations in Southern Europe

L'apotecari de Lleida Josep Francès (+1665) i la seva apotecaria

Relatem algunes dades de la vida de l’apotecari de Lleida del segle XVII, Josep Francès, el qual tenia l’apotecaria en la cèntrica plaça de la Paeria. Tenint en compte la importància de la botiga com a ànima familiar, un cop mort l’apotecari la vídua la va continuar casant-se amb l’apotecari i amic de la família Antonio Contreras. Pel seu interès sanitari, descrivim també en forma d’apèndix documental tot el contingut de l’apotecaria, medecines i llibres.Describimos algunos aspectos de la vida del apotecario de Lleida del siglo XVII, Josep Francès, que tenía la apotecaria en la céntrica plaza de la Paeria. Teniendo en cuenta la importancia de la botica como alma familiar, después de la muerte del apotecario la viuda la continuó casándose con el apotecario i amigo de la familia, Antonio Contreres. Por su interés sanitario describimos también en apéndice documental el contenido de la apotecaria, medicinas y libros

Medicina popular a Lleida, segons el recull del Dr. Camps i Clemente

Aquest escrit és una part de la recopilació de totes aquelles pràctiques, dites i creences populars moltes d’elles relacionades amb la medicina, recollides del públic pel nostre pare i avi, Manuel Camps Clemente, en el decurs del temps.La seva afecció a la medicina popular era molt forta i va tenir ocasió en la seva llarga pràctica rural d’ampliar la relació metge malalt amb la recollida de coneixements autòctons, generalment del medi on exercia, o també d’altres zones geogràfiques, que li aportaven els malalts que visitava i coneixia. Aquest exercici tenia també la virtut d’enriquir l’esmentada relació i per tant de contribuir a la bona pràctica mèdica. La seva medicina era més que tècnica.El seu interès per aquests temes, així com per molts d’altres, va fer que anés adquirint i sedimentant a través de moltes hores de dedicació, criteris propis sobre molt diverses qüestions