Estudio de los usos de internet de los profesionales sanitarios vinculados con el tratamiento dolor crónico

[ES]Estudio estadístico de los usos de internet de los profesionales sanitarios vinculados con el Máster en tratamiento del Dolor de la Universidad de Salamanca desde el año 2005/06 hasta el 2013/14 con puntucación obtenida mayor de 8 sobre 10. De las 531 encuestas enviadas, se consideran correctas 370. Con ellas, se realiza un modelo estadístico Logit Binomial de regresión logística en base a 2 conglomerados: los médicos que trabajan en unidades de Dolor y médicos que no lo hacen (llamados médicos tradicionales). Los resultados muestran, en general, que los médicos cuyo puesto de trabajo está en una Unidad de Dolor son más propensos al uso de internet para sus labores diarias relacionadas con la práctica de su profesión, mientras que los médicos del segundo conglomerado hacen más uso de internet para la búsqueda de información relacionada con su institución. Con esta afirmación, se denota, que los "médicos en red", aquellos que hace uso de las TIC en mayor medida para su labor asistencial, mejoran como médicos gracias al uso de estas. También afirmamos que las instituciones deben cambiar y enfocarse a permitir que estos asistenciales dispongan de tiempo en sus agendas para la práctica y mejora de sus habilidades y aptitudes a la hora de usar internet en sus labores diarias como asistenciales

Cirugía bucal

Memoria ID-029. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2021-2022

Gingival hyperplasia as an early manifestation of acute myeloid leukemia. A retrospective review

We study the prevalence of acute myeloid leukemia (AML) among patients with severe gingival enlargement. We retrospective reviewed the clinical records of patients with severe gingival enlargement, between 2011 and 2018. The Saxer and Mühlemann index were used to measure inflammation and gingival bleeding. The degree of dental mobility was measured by the Nyman and Lindhe technique. A correlation analysis was carried out to test whether there were any associations among the different variables. In the sample of 117 patients the mean gingival bleeding index was ?3 and the degree of dental mobility ?2.3. 1.7% of patients, with severe gingival hyperplasia were diagnosed with AML. We found a significant association between gingival bleeding and aging (p<0.001) and a trend (0.54) between bleeding and suffering from AML. Severe gingival enlargement, abundant gingival bleeding, and dental mobility could be early manifestations of a blood dyscrasia

Simulador informático para el aprendizaje sobre el diagnóstico y el tratamiento del dolor

Memoria ID-146. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2019-2020.[ES]El objetivo de este trabajo es mostrar el diseño y desarrollo de una herramienta de simulación para su aplicación en el aprendizaje mediante simulador, denominada SimDolor. Es una herramienta de aprendizaje sobre el diagnóstico y tratamiento del Dolor para estudiantes de Grado, médicos internos residentes y especialistas, que consta de una base de datos de casos clínicos reales anonimizados que permite a los usuarios aprender en base a una toma de decisiones propia de cada caso clínic

Desarrollo de contenidos en realidad virtual inmersiva para el aprendizaje de ciencias de la salud

Memoria ID-0167. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2017-2018

Fiscal sustainability and policy implications for the euro area&quot; by

Abstract In this paper we examine the sustainability of euro area public finances against the backdrop of population ageing. We critically assess the widely used projections of the Working Group on Ageing Populations (AWG) of the EU&apos;s Economic Policy Committee and argue that ageing costs may be higher than projected in the AWG reference scenario. Taking into account adjusted headline estimates for ageing costs, largely based upon the sensitivity analysis carried out by the AWG, we consider alternative indicators to quantify sustainability gaps for euro area countries. With respect to the policy implications, we assess the appropriateness of different budgetary strategies to restore fiscal sustainability taking into account intergenerational equity. Our stylised analysis based upon the lifetime contribution to the government&apos;s primary balance of different generations suggests that an important degree of pre-funding of the ageing costs is necessary to avoid shifting the burden of adjustment in a disproportionate way to future generations. For many euro area countries this implies that the medium-term targets defined in the context of the revised stability and growth pact would ideally need to be revised upwards to significant surpluses

Gastronomía y naturaleza

Proyecto de Investigación dirigido por José Fuentes y comisariado por Concha Sáez, sobre grabado en talla con pulpa de papel, en torno a Gastronomía y Naturaleza con la participación de 25 artista

Association Between Preexisting Versus Newly Identified Atrial Fibrillation and Outcomes of Patients With Acute Pulmonary Embolism

Background Atrial fibrillation (AF) may exist before or occur early in the course of pulmonary embolism (PE). We determined the PE outcomes based on the presence and timing of AF. Methods and Results Using the data from a multicenter PE registry, we identified 3 groups: (1) those with preexisting AF, (2) patients with new AF within 2 days from acute PE (incident AF), and (3) patients without AF. We assessed the 90-day and 1-year risk of mortality and stroke in patients with AF, compared with those without AF (reference group). Among 16 497 patients with PE, 792 had preexisting AF. These patients had increased odds of 90-day all-cause (odds ratio [OR], 2.81; 95% CI, 2.33-3.38) and PE-related mortality (OR, 2.38; 95% CI, 1.37-4.14) and increased 1-year hazard for ischemic stroke (hazard ratio, 5.48; 95% CI, 3.10-9.69) compared with those without AF. After multivariable adjustment, preexisting AF was associated with significantly increased odds of all-cause mortality (OR, 1.91; 95% CI, 1.57-2.32) but not PE-related mortality (OR, 1.50; 95% CI, 0.85-2.66). Among 16 497 patients with PE, 445 developed new incident AF within 2 days of acute PE. Incident AF was associated with increased odds of 90-day all-cause (OR, 2.28; 95% CI, 1.75-2.97) and PE-related (OR, 3.64; 95% CI, 2.01-6.59) mortality but not stroke. Findings were similar in multivariable analyses. Conclusions In patients with acute symptomatic PE, both preexisting AF and incident AF predict adverse clinical outcomes. The type of adverse outcomes may differ depending on the timing of AF onset.info:eu-repo/semantics/publishedVersio

EuReCa ONE—27 Nations, ONE Europe, ONE Registry A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe

AbstractIntroductionThe aim of the EuReCa ONE study was to determine the incidence, process, and outcome for out of hospital cardiac arrest (OHCA) throughout Europe.MethodsThis was an international, prospective, multi-centre one-month study. Patients who suffered an OHCA during October 2014 who were attended and/or treated by an Emergency Medical Service (EMS) were eligible for inclusion in the study. Data were extracted from national, regional or local registries.ResultsData on 10,682 confirmed OHCAs from 248 regions in 27 countries, covering an estimated population of 174 million. In 7146 (66%) cases, CPR was started by a bystander or by the EMS. The incidence of CPR attempts ranged from 19.0 to 104.0 per 100,000 population per year. 1735 had ROSC on arrival at hospital (25.2%), Overall, 662/6414 (10.3%) in all cases with CPR attempted survived for at least 30 days or to hospital discharge.ConclusionThe results of EuReCa ONE highlight that OHCA is still a major public health problem accounting for a substantial number of deaths in Europe.EuReCa ONE very clearly demonstrates marked differences in the processes for data collection and reported outcomes following OHCA all over Europe. Using these data and analyses, different countries, regions, systems, and concepts can benchmark themselves and may learn from each other to further improve survival following one of our major health care events

Penilaian Kinerja Keuangan Koperasi di Kabupaten Pelalawan

This paper describe development and financial performance of cooperative in District Pelalawan among 2007 - 2008. Studies on primary and secondary cooperative in 12 sub-districts. Method in this stady use performance measuring of productivity, efficiency, growth, liquidity, and solvability of cooperative. Productivity of cooperative in Pelalawan was highly but efficiency still low. Profit and income were highly, even liquidity of cooperative very high, and solvability was good