Laterally Extended Endopelvic Resection (Leer) and Reconstructive Techniques for Treatment of Locally Advanced Cervix Cancer: A Case Report

The aim of this report is to describe the surgical procedure done in a 24-year-old woman who presents a locally advanced squamous cervix carcinoma and is proposed to laterally extended endopelvic resection (LEER), intraoperative radiation therapy with electrons (IORT) and urinary and colon diversion with vaginal reconstruction. A year after surgery the patient is alive, without disease and with and acceptable quality of life

Efectos de lovastatina en células mesangiales humanas: mecanismos de acción de los inhibidores de la HMG-CoA reductasa en la prevención de la glomerulosclerosis

Tesis doctoral inédita. Universidad Autónoma de Madrid, Facultad de Medicina, Departamento de Medicina. Fecha de lectura: 22 de Junio de 199

Evaluating the efficacy of an Advanced Care Planning Program for Health Decisions in patients with advanced heart failure: protocol for a Randomized Clinical Trial

An Advanced Care Planning (ACP) program of health decisions is the result of a process of reflection and relationship-building between the patient, their relatives and health professionals. It is based on respect for patients’ autonomy, involving them in making decisions about their disease in a way that is shared between the medical team, the patient and their relatives. Up until now, the efficacy of an ACP has not been measured in the existing literature, and therefore it is unknown if these programs reach their goal. The main objective of our study is to evaluate the efficacy of an ACP program for decision-making in patients with advanced heart failure (HF) in comparison to usual follow up and care. This objective will be evaluated by the Patient Activation Measure test, which measures the participation and self-management of the patient in decision-making. Secondary objectives: to evaluate the effect of the program on quality of life, to know if the patients wishes expressed through the ACP program are fulfilled, to measure the impact of the program on patients’ caregivers, to determine the satisfaction of patients included in the program and to evaluate the effect on quality of death.Alcorcón Foundation University Hospital (Hospital Universitario Fundación Alcorcón) through a public grant from the Fondo de Investigaciones Sanitarias (Instituto de Salud Carlos III.Ministry of Science, Innovation and Universities). FIS Grant Number: PI19/01647.2.298 JCR (2020) Q3, 92/142 Cardiac & Cardiovascular Systems0.818 SJR (2020) Q2, 109/149 Cardiology and Cardiovascular MedicineNo data IDR 2020UE

Evolución del conocimiento y de la realización de instrucciones previas en los pacientes ingresados en medicina interna

Advance directives (ADs), are documents in which patients express in advance that their wishes are fulfilled when they are unable to communicate them. It is unknown whether patients admitted to internal medicine are more aware of and make ADs.0.196 SJR (2013) Q3, 986/1849 Medicine (miscellaneous), 154/214 Health polic

Dolor dorsolumbar y adenopatías supraclaviculares en un varón de 67 años

Sin financiación0.116 SJR (2007) Q3, 33/54 RheumatologyUE