L’atenció de la cronicitat a les Illes Balears, una oportunitat

Els canvis en el patró poblacional representat per l’envelliment, en el patró epidemiològic evidenciat per la presència de les malalties cròniques, la discapacitat o la dependència i les dificultats econòmiques actuals, condicionen el model d’atenció sanitària i social tal com el coneixem actualment i orienta el conjunt a un nou paradigma assistencial —l’atenció de la cronicitat. Des de diferents àmbits, es manifesta que si es manté el sistema actual poden sorgir dificultats per sostenir-lo, i es proposen canvis tant en l’organització sanitària (molt orientada als pacients aguts) com en la social per tal d’adaptar-lo al nou model en què l’atenció primària i la gestió de pacients crònics assumeixin més protagonisme sense necessitar més recursos, i en què els usuaris adoptin un paper més proactiu envers la salut i l’autonomia pròpies.Changes in the demographic and epidemiologic pattern due to aging, pattern –evidenced by the presence of chronic illnesses, disability or dependence– in combination with the present economic hardship are affecting the health and social care system as we know it, and point to the need for a new attention paradigm focusing on chronicity., The claim is being made from different angles and if the present system is kept, its sustainability may be difficult. Thus, changes have been proposed both in health —highly oriented to acute care today— and social organization, to adapt it to the new model where primary care and chronic patients’ management play a major role —without demanding extra resources— and where users become more involved in their own health and autonomy

Reconstrucción del ligamento cruzado anterior por un abordaje trastendón rotuliano

Describimos la técnica de la plastia del ligamento cruzado anterior (LCA) usando el hueso-tendón-hueso a través de un abordaje transtendón rotuliano. Esto facilita la condiloplastia, la visión de los puntos de inserción del ligamento cruzado anterior y la realización de intervenciones asociadas con meniscectomía o suturas meniscales. Los resultados clínicos son semejantes a los de otras técnicas a cielo abierto o por atroscopia.The reconstruction of the anterior cruciate ligament by bone-tendon-bone through a transpatellar tendon approach facilitates notchplasty, allows visualization of the insertion points of the ligament, and the performance of other associated surgery like meniscectomy and meniscal sutures. The clinical results are similar to other techniques using arthrotomy or arthroscopy

Identification of differential proteins in liver cells upon depletion of prohibitin

Comunicaciones a congreso

Correction of defective textures in packaged dry-cured pork ham by applying conventional and ultrasonically-assisted mild thermal treatments

Pastiness is a textural defect characterized by an excessive softness and loss of elasticity which lacks corrective actions at industrial level. The objective of this study was to evaluate the textural and microstructural changes of dry-cured pork ham, with different pastiness levels, subjected to conventional and ultrasonically-assisted corrective mild thermal treatments. Pastiness was assessed by an expert sensory panel and hams were classified into three categories: high (HP), medium (MP) and no (NP) pastiness. Ham samples (n = 108) were heated (40 and 50 °C) with power ultrasound (PuS) and without (CV) PuS application. After heating, all of the textural parameters assessed were improved. Hardness increased by 102% and adhesiveness decreased by 55% and the ham became less viscoelastic. The largest modifications were found in the samples heated at 50 °C and no differences were found between CV and PuS treatments. The microstructure of pasty samples revealed that the treatment produced a shrinkage of the myofibrils, which could explain the increase in hardness and the improvement in texture of defective ham.info:eu-repo/semantics/acceptedVersio

Molecular implications of prohibitin-1 deficiency in liver homeostasis

Comunicaciones a congreso

Patología de ligamentos en la meseta tibial

X Congreso Nacional de Paleopatología. Univesidad Autónoma de Madrid, septiembre de 200

La extirpación de la grasa de Hoffa y de la porción central del tendón rotuliano: Estudio experimental en la rodilla del conejo

Se estudia la repercusión de la extirpación parcial de la grada de Hoffa, y de ésta junto con el tercio central del tendón rotuliano en la rodilla de 16 conejos machos adultos, seguidos durante 6 meses. En los 6 casos que completan el estudio con extirpación de la grasa aislada no se detectó sobre el tendón o las superficies articulares cambios macro o microscópicos. Cuando se extirpó además de la grada el tercio central del ligamento rotuliano, se observó adelgazamiento y elongación del tendón rotuliano con erosiones mínimas en la articulación femororotuliana en 4 rodillas examinadas. En ninguno de los dos grupos se observó neoformación de la grasa extirpada.The repercussion on the knee after partial excision of the Hoffa pad, isolated or in combination with the central portion of the patella tendon, was studied in 16 adult male rabbits, with a follow-up of 6 months. In the 6 surviving cases of isolated Hoffa pad excision, no changes were observed on the tendon neither the articular surfaces on macro and microscopic. In the 6 cases of Hoffa pa and central portion of the patella tendon excision, thinning and elongation of the tendon with some erosion of the articular surface of the femoropatellar joint was observed. The fat pad was nor regenerated in neither group

Patología escapulo-clavicular en un sujeto de Morella

X Congreso Nacional de Paleopatología. Univesidad Autónoma de Madrid, septiembre de 200

Ethical conflicts among physicians and nurses during the COVID‐19 pandemic: A qualitative study

Rationale, Aims and Objectives The healthcare system and professionals working in the sector have experienced a high caseload during the coronavirus disease 2019 (COVID-19) pandemic. This has increased the potential for morally harmful events that violate professionals' moral codes and values. The aim of this study was to understand and explore experiences of new moral challenges emerging among physicians and nurses caring for individuals during the COVID-19 pandemic. Method The consolidated criteria for reporting qualitative research (COREQ) checklist was used in this qualitative study based on Gadamer's phenomenology. Participants were selected using a convenience sampling method. Thirteen medicine and nursing graduates were interviewed in depth. The participants all worked on the frontline at the start of the COVID-19 pandemic. Data were gathered in two basic healthcare districts in Spain, encompassing both primary care and hospital care. Results Four main themes emerged from the data analysis: (1) Betrayal of moral and ethical values as a key source of suffering; (2) Ethical and moral sense of failure accompanying loss of meaning; (3) Lack of confidence in performance; (4) Self-demand and self-punishment as personal condemnation among healthcare workers. Conclusions Health institutions must implement interventions for health professionals to help mitigate the consequences of experiencing complex ethical scenarios during the pandemic. In addition, they should promote training in moral and ethical deliberation and prepare them to make decisions of great ethical significance

Assessing the textural defect of pastiness in dry-cured pork ham using chemical, microstructural, textural and ultrasonic analyses

The dry-cured pork ham industry lacks non-destructive quality control techniques able to characterize relevant textural defects, such as pastiness or softness. The aim of this study is to analyze the feasibility of using different destructive and non-destructive techniques to characterize pastiness in dry-cured ham. Dry-cured ham processing was modified in order to induce different pastiness intensities over a wide range of moisture and salt contents. Afterwards, pastiness was assessed by sensory analysis and samples classified as non-pasty, medium-pasty and highly-pasty. Finally, chemical, textural, microstructural (LM and TEM) and ultrasonic analyses (velocity and attenuation coefficient) were carried out. Samples with a high degree of pastiness experienced an increase of 16.8% and 16.7% as regards the proteolysis index and relaxation capacity, respectively, and a 67.7% decrease in hardness compared to non-pasty hams. The microstructural analysis revealed that pastiness brought about great structural degradation. Ultrasonic velocity was significantly related to the salt (r = 0.79) and moisture contents (r = 0.69), but no influence of pastiness was found on the velocity. However, the attenuation coefficient increased as the pastiness rose and could be considered as a useful parameter for characterizing this complex textural defect. Therefore, ultrasound could be used not only to carry out a non-destructive characterization of dry-cured ham composition but also to assess pastiness.info:eu-repo/semantics/acceptedVersio