Clinical and Functional Outcome of Meniscal Injuries Treated with Platelet-Rich Plasma: A Single-Center Case Series

Meniscal injuries are among the most frequently encountered conditions in the knee joint. Therapeutic approaches are diverse and are largely dependent on the extent and location of the injury. The purpose of this study was to describe the clinical and functional outcomes of an intraarticular and percutaneous platelet-rich plasma (PRP) injection regime in patients with stable meniscal injuries. Demographics, the type of tear, affected knee, surgical procedure, type of intervention, follow-up period, and outcomes were recorded in all cases. Patient-reported outcome measures included the Knee Injury and Osteoarthritis Outcome Score (KOOS) and Tegner activity level scale. Overall patient satisfaction, quality of life, and pain intensity were also assessed. A total of 38 cases (8 females) had sustained a stable meniscal lesion (32 medial, 6 lateral) and met the inclusion criteria. All of them received three intraarticular and percutaneous PRP injections. Patients receiving the PRP injection regime reported clinically (p = 0.000) and functionally (p = 0.000 and p = 0.001) significant improvement in all outcome measures during this interval. All patients reported they were very satisfied or satisfied with the outcome. The results of this study suggest that the treatment of stable meniscal injuries with percutaneous–intraarticular PRP injections can achieve a significant clinical and functional improvement.This research received no external funding. Partial funding for open access charge: Universidad de Málag

The syncope core management process in the emergency department:a consensus statement of the EUSEM syncope group

The European Society of Cardiology issued updated syncope guidelines in 2018 which included recommendations for managing syncope in the emergency department (ED) setting. However, these guidelines lack detailed process-oriented instructions regarding the fact that ED syncope patients initially present with a transient loss of consciousness (TLOC), which can have a broad spectrum of causes. This study aims to establish a European consensus on the general process of the workup and care for patients with suspected syncope and provides rules for sufficient and systematic management of the broad group of syncope (initially presenting as TLOC) patients in the ED. A variety of European diagnostic and therapeutic standards for syncope patients were reviewed and summarized in three rounds of a modified Delphi process by the European Society for Emergency Medicine syncope group. Based on a consensus statement, a detailed process pathway is created. The primary outcome of this work is the presentation of a universal process pathway for the structured management of syncope patients in European EDs. The here presented extended event process chain (eEPC) summarizes and homogenizes the process management of European ED syncope patients. Additionally, an exemplary translation of the eEPC into a practice-based flowchart algorithm, which can be used as an example for practical use in the ED, is provided in this work. Syncope patients, initially presenting with TLOC, are common and pose challenges in the ED. Despite variations in process management across Europe, the development of a universally applicable syncope eEPC in the ED was successfully achieved. Key features of the consensus and eEPC include ruling out life-threatening causes, distinguishing syncope from nonsyncopal TLOCs, employing syncope risk stratification categories and based on this, making informed decisions regarding admission or discharge.</p

PhDay Educación 2020. VI Jornadas de Investigación. Libro de Actas

Todas las contribuciones presentadas en este Libro de Actas forman parte de la evaluación de seguimiento de los doctorandos de segundo año a tiempo completo y tercer año a tiempo parcial del Programa de Doctorado en Educación de la Universidad Complutense de Madrid. Cada trabajo ha sido revisado formalmente por el comité organizador y valorado por los directores y tutores de tesis. Asimismo, cada doctorando ha recibido mejoras por otros estudiantes del programa que han podido incluir antes de la finalización del presente documento

Alcalá : apuntes de historia y arte

Este material recoge las ponencias presentadas en el VIII Curso sobre historia y arte de Alcalá, organizado por la Institución de Estudios Complutenses en colaboración con el CPR de Alcalá de Henares. Los textos pretenden aumentar el conocimiento sobre Alcalá y su desarrollo, para apreciar mejor el presente y dotar al futuro de un mayor sentido. Se realiza un recorrido a través de la historia de la ciudad, desde los primeros vestigios de pobladores hasta la actualidad. Los textos son Prehistoria y Complutum romana; Compluto visigoda e islámica; Los orígenes sacros de la Alcalá medieval, el templo de los santos Justo y Pastor; Alcalá medieval cristiana; Alcalá de Henares, musulmana y judía desde 1118 hasta el Renacimiento; Fundación y primeros años de la Universidad de Alcalá (1499-1517); La Universidad de Alcalá en los siglos XVI y XVII; El Colegio Mayor de San Ildefonso, proceso constructivo; El arte de la orfebrería complutense; Escultura del Renacimiento en Alcalá de Henares; Arquitectura barroca complutense; Pintura del Barroco complutense; El Siglo de las Luces en Alcalá; El siglo XX en Alcalá de Henares; Bibliografía temática básica sobre Alcalá de Henares.MadridES