L'Arxiu de Simancas i la Universitat de Cervera: aspectes biogràfics dels primers metges

En aquesta comunicació al XVII Congrés d’HMC, exposarem la investigació històrica dels aspectes biogràfics particulars dels catedràtics, metges i estudiants de la Facultat de Medicina en els primers anys de la Universitat de Cervera. Seguim la tecnologia de l’anàlisi ergonòmica i dels fons documentals del Archivo General de Simancas, però aquí utilitzarem també com a fonts documentals bibliogràfiques, els estudis i aportacions que tenen com a font documental el “Archivo Universitario de Cervera”, ubicat a la Biblioteca Universitària de Barcelona. S’exposa la descripció en quatre apartats: 1r. Càtedres i catedràtics de Medicina; 2n. Les primeres oposicions; 3r. Càtedres d’anatomia i cirurgia; 4rt. Comentaris històrics i valoració

Bibliografia d'un Estudi General

Apliquem el mètode de la tecnologia de l’anàlisi ergonòmica a les investigacions bibliogràfiques de l’Estudi General d’Arts i Medicina de Barcelona, del periode de 1401 a 1565, per indagar la veritat històrica i el progrés, no la crítica documental

"Diario de Barcelona" any 1935. Notes mèdiques.

Es transcriu el comentari que s’exposa en una carta al Sr. Editor del “Diario de Barcelona”, de 20 de juliol de 1835, sobre la situació el primer terç del segle XIX entre les distincions de les ciències i el contrast que presenten la formació als Col·legis i l’exercici dels profesionals de la Medicina, amb la varietat i catàleg de les seves denominacions i funcions, els possibles perjudicis que aquesta situació ocasionava, particularment al món rural, degut a la ignorància i a l’abús de no complir les lleis que no concedien l’exercici professional a totes les parts de la Medicina

Ergonomia al treball. Investigació històrica

S’amplia per una nova aplicació els conceptes d’ergonomia, per medi de la denominada tecnologia de l’anàlisi ergonòmica en el treball de recerca històrica de la Medicina. S’exposen les causes d’interès pràctic i els antecedents del procediment d’investigació, per entrar: primer en els conceptes d’ergonomia aplicables, seguida de l’evolució històrica de l’Estudi del Treball, i de la difusió per Europa de la moderna ergonomia, per arribar a la investigació històrica; després, en segon lloc, s’exposa la possible patologia professional que pot expressar la creació històrica

Aspectes biogràfics i socials dels estudiants catalans a l'Arxiu General de Simancas

Amb el suport de l’Arxiu General de Simancas i els documents referits als ensenyaments superiors, es realitza una investigació històrica i la seva descripció, aplicant la tecnologia ergonòmica als aspectes biogràfics i socials dels estudiants catalans des de l’últim terç del segle XVII fins a finals del segle XVIII . Presentem aquest estudi procurant ressaltar la Facultat de Medicina i els seus estudiants, respecte a les demés facultats

Strategies to reengage patients lost to follow up in HIV care in high income countries, a scoping review

Background: Despite remarkable achievements in antiretroviral therapy (ART), losses to follow-up (LTFU) might prevent the long-term success of HIV treatment and might delay the achievement of the 90-90-90 objectives. This scoping review is aimed at the description and analysis of the strategies used in high-income countries to reengage LTFU in HIV care, their implementation and impact. Methods: A scoping review was done following Arksey & O'Malley's methodological framework and recommendations from Joanna Briggs Institute. Peer reviewed articles were searched for in Pubmed, Scopus and Web of Science; and grey literature was searched for in Google and other sources of information. Documents were charted according to the information presented on LTFU, the reengagement procedures used in HIV units in high-income countries, published during the last 15 years. In addition, bibliographies of chosen articles were reviewed for additional articles. Results: Twenty-eight documents were finally included, over 80% of them published in the United States later than 2015. Database searches, phone calls and/or mail contacts were the most common strategies used to locate and track LTFU, while motivational interviews and strengths-based techniques were used most often during reengagement visits. Outcomes like tracing activities efficacy, rates of reengagement and viral load reduction were reported as outcome measures. Conclusions: This review shows a recent and growing trend in developing and implementing patient reengagement strategies in HIV care. However, most of these strategies have been implemented in the United States and little information is available for other high-income countries. The procedures used to trace and contact LTFU are similar across reviewed studies, but their impact and sustainability are widely different depending on the country studied

Rate and duration of hospitalisation for acute pulmonary embolism in the real-world clinical practice of different countries : Analysis from the RIETE registry

publishersversionPeer reviewe

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat