Caracterización de pacientes que reciben cuidados paliativos en una unidad privada no hospitalaria en El Salvador.

In El Salvador, access to palliative care is limited. In July 2013, he started a private support and symptom control unit in palliative care. They care for cancer and non-cancer patients at three levels: outpatient consultation, hospitalization in private centers and home care. The objective of this study is to describe the demographic and clinical characteristics of the population attended from January 2014 to December 2016 as the first experience of private palliative care in San Salvador.It is an observational, retrospective and descriptive study, using the population census and clinical records. Where sociodemographic and clinical variables of the patients were collected in an initial assessment by the palliative doctor.The total of patients was 125. Being 56.8% women with an average age of 72 years. 68% of patients live in San Salvador. 14.4% have private health insurance. 68% received a home consultation. 86.4% of the patients attended suffered from oncological diseases. The most frequent symptoms: weakness 90.4%, lack of appetite 88.8% and pain 76%. The most widely used opioid was morphine 28.8% followed by tramadol 17.6%, oxycodone 8% and fentanyl 8%. 12.8% required palliative sedation. The patients were referred by doctors in 52.8% and by relatives 47.2%.We present the characteristics of the patients cared for in the private unit and whose results show that when palliative care cares for its principles and basic elements of work, the results are similar to other units in the rest of the world.En El Salvador el acceso a los cuidados paliativos es limitado. En julio de 2013 inició una unidad privada de soporte y control de síntomas en cuidados paliativos. Atienden enfermos oncológicos y no oncológicos en tres niveles: consulta externa, hospitalización en centros privados y atención domiciliaria. El objetivo de este estudio es describir las características demográficas y clínicas de la población atendida desde enero de 2014 a diciembre de 2016 como primera experiencia de atención paliativa privada en San Salvador. Es un estudio observacional, retrospectivo y descriptivo, utilizando el censo poblacional y los expedientes clínicos. En donde se recogieron variables sociodemográficas y clínicas de los pacientes en una valoración inicial por el médico paliativista. El total de pacientes fue 125. Siendo 56.8% mujeres con promedio de edad 72 años.  El 68% de los pacientes viven en San Salvador. 14.4% tienen seguro médico privado. 68% recibieron consulta domiciliar. El 86.4% de los pacientes atendidos padecían de enfermedades oncológicas. Los síntomas más frecuentes: debilidad 90.4%, falta de apetito 88.8% y dolor 76%. El opioide más utilizado fue morfina 28.8% seguido de tramadol 17.6%, oxicodona 8% y fentanilo 8%.  Requirieron sedación paliativa 12.8%. Los pacientes fueron referidos por médicos en 52.8% y por familiares 47.2%. Presentamos las características de los pacientes atendidos en la unidad privada y cuyos resultados muestran que cuando los cuidados paliativos cuidan sus principios y elementos básicos de trabajo los resultados son similares a otras unidades en el resto del mundo

Search for dark matter produced in association with bottom or top quarks in √s = 13 TeV pp collisions with the ATLAS detector

A search for weakly interacting massive particle dark matter produced in association with bottom or top quarks is presented. Final states containing third-generation quarks and miss- ing transverse momentum are considered. The analysis uses 36.1 fb−1 of proton–proton collision data recorded by the ATLAS experiment at √s = 13 TeV in 2015 and 2016. No significant excess of events above the estimated backgrounds is observed. The results are in- terpreted in the framework of simplified models of spin-0 dark-matter mediators. For colour- neutral spin-0 mediators produced in association with top quarks and decaying into a pair of dark-matter particles, mediator masses below 50 GeV are excluded assuming a dark-matter candidate mass of 1 GeV and unitary couplings. For scalar and pseudoscalar mediators produced in association with bottom quarks, the search sets limits on the production cross- section of 300 times the predicted rate for mediators with masses between 10 and 50 GeV and assuming a dark-matter mass of 1 GeV and unitary coupling. Constraints on colour- charged scalar simplified models are also presented. Assuming a dark-matter particle mass of 35 GeV, mediator particles with mass below 1.1 TeV are excluded for couplings yielding a dark-matter relic density consistent with measurements