El solar y el entorno urbano de Santa María de Regla (siglos I-XV)

p. 23-44La importancia conferida a la amplia zona ocupada por la Catedral de León a lo largo de la historia de la ciudad. hace especialmente atractivo el estudio de su evolución urbana. Nuestro análisis, apoyado en lo fundamental por las premisas arqueológicas, intentará esbozar las directri­ces que marcaron dichas mutaciones desde los primeros momentos, coincidentes con la ocupación romana del solar leonés, hasta la conclusión de la etapa medieval. Dos excavaciones arqueológicas practicadas reciente­mente en el entorno catedralicio han aportado significa­tivos avances con respecto al conocimiento del urbanis­mo romano y medieval. El relativamente buen estado de los restos descubiertos contrasta con los exhumados en otras zonas de la ciudad antigua, que no suelen llegar hasta nosotros en las condiciones más idóneas para una correcta lectura, al tratarse frecuentemente de estructuras pobres y fácilmente perecederas, por lo que en muchos casos no han llegado a conservars

Análisis Arqueomalacológico de la cannaba de Ad Legionem VII Geminam (Puente Castro, León): Primeros resultados

The roman site of Ad Legionem (Puente Castro, León, Spain), emerged as a civilian settlement legionary camp linked to Legio VII. In 2010 took place an archaeological excavation in connection with the construction of a road, unveiling a very important urban and numerous archaeological remains. This article presents re archaeomalacology study results.El yacimiento romano de Ad Legionem (Puente Castro, León) surgió como un asentamiento civil vinculado al campamento legionario de León. Durante el año 2010 se llevó a cabo una intervención arqueológica con motivo de la construcción de un vial, dando a conocer una trama urbana de gran importancia y multitud de restos arqueológicos. En este artículo se presentan los resultados del estudio arqueomalacológico del yacimiento

Efficacy of Telemedicine and Telemonitoring in At-Home Monitoring of Patients with COVID-19

Aim: this work aims to assess if telemedicine and telemonitoring are clinically useful and safe for at-home monitoring of Coronavirus disease 2019 (COVID-19) patients. Methods: This is a retrospective cohort study of all patients diagnosed with COVID-19 in Galicia (Northwestern Spain) between 26 December 2020 and 15 February 2021. The structured, proactive monitoring via telemonitoring (TELEA) of patients considered to be high-risk in the Lugo, A Mariña, and Monforte Healthcare Area (ASLAM) was evaluated compared to other models in the remaining healthcare areas of Galicia. Results: Of the 47,053 COVID-19 patients, 4384 (9.3%) were in ASLAM. Of them, 1187 (27.1%) were monitored via TELEA, and the rest (3197 in ASLAM and 42,669 in the rest of Galicia) were monitored via other methods. Patients monitored in ASLAM via TELEA were older, consulted in the emergency department less frequently (p = 0.05), were hospitalized less frequently (p < 0.01), had shorter hospital stays (p < 0.0001), and had a lower mortality rate in their first hospitalization (p = 0.03). No at-home life-threatening emergencies were recorded. Conclusions: these data suggest that, for COVID-19 patients, a care model involving proactive at-home monitoring with telemedicine and telemonitoring is associated with reduced pressure on hospital services and a lower mortality rate

Efficacy of Telemedicine and At-Home Telemonitoring following Hospital Discharge in Patients with COVID-19

Aim: This work aims to evaluate the safety and utility of an at-home telemedicine with telemonitoring program for discharged COVID-19 patients. Methods: This is a retrospective cohort study of all patients discharged home in Galicia between 6 March 2020 and 15 February 2021. We evaluated a structured, proactive monitoring program conducted by the ASLAM (Área Sanitaria de Lugo, A Mariña y Monforte de Lemos) Healthcare Area team compared to patients discharged in the rest of the Autonomous Community of Galicia. Results: During the study period, 10,517 patients were hospitalized for COVID-19 and 8601 (81.8%) were discharged. Of them, 738 (8.6%) were discharged in ASLAM and 7863 (91.4%) were discharged in the rest of Galicia. Of those discharged in ASLAM, 475 (64.4%) patients were monitored. Compared to patients in the rest of Galicia, the group monitored via telemedicine had a significantly shorter first hospital stay (p < 0.0001), a lower readmission rate (p = 0.05), and a shorter second hospital stay (p = 0.04), with no differences in emergency department visits or 90-day all-cause mortality. Conclusion: A structured, proactive telemedicine with telemonitoring program for discharged COVID-19 patients is a safe, useful tool that reduces the mean length of hospital stay and readmissions