Guía de práctica clínica para la prevención, diagnóstico, tratamiento y rehabilitación de la falla cardiaca en población mayor de 18 años, clasificación B, C y D

La falla cardíaca es un síndrome clínico caracterizado por síntomas y signos típicos de insuficiencia cardíaca, adicional a la evidencia objetiva de una anomalía estructural o funcional del corazón. Guía completa 2016. Guía No. 53Población mayor de 18 añosN/

Calidad de vida y satisfacción en cuidados paliativos

Introducción: Se pretendió conocer la calidad de vida y la satisfacción con la atención en los pacientes oncológicos que recibieron cuidados paliativos durante la hospitalización. Metodología: Estudio observacional longitudinal prospectivo, incluyó pacientes mayores de 18 años, con patología oncológica avanzada previo consentimiento. Se excluyeron aquellos con enfermedad psiquiátrica o incapacidad psicofísica. Se obtuvieron datos sociodemográficos y clínicos. Se utilizaron escalas validadas: "QLQ-C15-PAL” para calidad de vida en la primera evaluación y siete días posteriores, e “IN-PATSAT32” para satisfacción. Resultados: Se reclutaron 80 pacientes, con pérdida del seguimiento en 23,8% por fallecimiento (n=18) y delirium (n=1). Se encontró una fuerte asociación entre subescalas de dolor, insomnio y constipación; funcionalidad del paciente y satisfacción general con calidad de vida global en la primera medición. Hubo una mejoría estadísticamente significativa de la calidad de vida global a los siete días. No se halló asociación entre variables sociodemográficas y clínicas con esta mejoría, excepto para el tipo de dolor nociceptivo (p=0.05). Se evidenció tendencia a la mejora en la calidad de vida global con mayores puntajes para la satisfacción con los servicios de enfermería y la satisfacción general. Discusión: La evaluación de la atención en cuidados paliativos a través del cambio en calidad de vida y satisfacción, permitió identificar factores asociados para enfocar objetivos del cuidado, retroalimentar a los profesionales y mejorar la calidad de vida de los pacientes.Background: The aim was to know the quality of life and satisfaction with the care of oncological patients who received palliative care during hospitalization. Methodology: Observational longitudinal, prospective study, included patients older than 18 years old, with advanced oncological pathology with prior consent. Those with psychiatric illness or psychophysical disability were excluded. Sociodemographic and clinical data were obtained. Validated scales were used: "QLQ-C15-PAL" for quality of life in the first evaluation and seven days later, and "IN-PATSAT32" for satisfaction. Results: 80 patients were enrolled, with loss of follow-up in 23.8% due to death (n=18) and delirium (n=1). A strong association was found between subscales of pain, insomnia and constipation; Patient functionality and overall satisfaction with global quality of life in the first measurement There was a statistically significant improvement in the overall quality of life after seven days. No association was found between sociodemographic and clinical variables with this improvement, except for the type of nociceptive pain (p=0.05). There was a tendency to improve the global quality of life with higher scores for satisfaction with nursing services and general satisfaction. Discussion: The assessment of palliative care through the change in quality of life and satisfaction, allowed to identify associated factors to focus on care objectives, provide feedback to professionals and improve the quality of life of patients

Calidad de vida y satisfacción en cuidados paliativos

Introducción: Se pretendió conocer la calidad de vida y la satisfacción con la atención en los pacientes oncológicos que recibieron cuidados paliativos durante la hospitalización. Metodología: Estudio observacional longitudinal prospectivo, incluyó pacientes mayores de 18 años, con patología oncológica avanzada previo consentimiento. Se excluyeron aquellos con enfermedad psiquiátrica o incapacidad psicofísica. Se obtuvieron datos sociodemográficos y clínicos. Se utilizaron escalas validadas: "QLQ-C15-PAL” para calidad de vida en la primera evaluación y siete días posteriores, e “IN-PATSAT32” para satisfacción. Resultados: Se reclutaron 80 pacientes, con pérdida del seguimiento en 23,8% por fallecimiento (n=18) y delirium (n=1). Se encontró una fuerte asociación entre subescalas de dolor, insomnio y constipación; funcionalidad del paciente y satisfacción general con calidad de vida global en la primera medición. Hubo una mejoría estadísticamente significativa de la calidad de vida global a los siete días. No se halló asociación entre variables sociodemográficas y clínicas con esta mejoría, excepto para el tipo de dolor nociceptivo (p=0.05). Se evidenció tendencia a la mejora en la calidad de vida global con mayores puntajes para la satisfacción con los servicios de enfermería y la satisfacción general. Discusión: La evaluación de la atención en cuidados paliativos a través del cambio en calidad de vida y satisfacción, permitió identificar factores asociados para enfocar objetivos del cuidado, retroalimentar a los profesionales y mejorar la calidad de vida de los pacientes.Background: The aim was to know the quality of life and satisfaction with the care of oncological patients who received palliative care during hospitalization. Methodology: Observational longitudinal, prospective study, included patients older than 18 years old, with advanced oncological pathology with prior consent. Those with psychiatric illness or psychophysical disability were excluded. Sociodemographic and clinical data were obtained. Validated scales were used: "QLQ-C15-PAL" for quality of life in the first evaluation and seven days later, and "IN-PATSAT32" for satisfaction. Results: 80 patients were enrolled, with loss of follow-up in 23.8% due to death (n=18) and delirium (n=1). A strong association was found between subscales of pain, insomnia and constipation; Patient functionality and overall satisfaction with global quality of life in the first measurement There was a statistically significant improvement in the overall quality of life after seven days. No association was found between sociodemographic and clinical variables with this improvement, except for the type of nociceptive pain (p=0.05). There was a tendency to improve the global quality of life with higher scores for satisfaction with nursing services and general satisfaction. Discussion: The assessment of palliative care through the change in quality of life and satisfaction, allowed to identify associated factors to focus on care objectives, provide feedback to professionals and improve the quality of life of patients.2019-08-01 06:01:01: Script de automatizacion de embargos. info:eu-repo/date/embargoEnd/2019-08-0

V. Manejo del paciente con infección por SARS-CoV-2/COVID-19

La cloroquina (CQ) e hidroxicloroquina (HCQ) son fármacos antimaláricos y antiinflamatorios indicados en enfermedades como artritis reumatoidea y lupus eritematoso, se les ha documentado actividad in vitro contra SARS-CoV-2.Q4https://orcid.org/0000-0001-6396-3267Revista Nacional - IndexadaN

NEOTROPICAL XENARTHRANS: a data set of occurrence of xenarthran species in the Neotropics

Xenarthrans—anteaters, sloths, and armadillos—have essential functions for ecosystem maintenance, such as insect control and nutrient cycling, playing key roles as ecosystem engineers. Because of habitat loss and fragmentation, hunting pressure, and conflicts with domestic dogs, these species have been threatened locally, regionally, or even across their full distribution ranges. The Neotropics harbor 21 species of armadillos, 10 anteaters, and 6 sloths. Our data set includes the families Chlamyphoridae (13), Dasypodidae (7), Myrmecophagidae (3), Bradypodidae (4), and Megalonychidae (2). We have no occurrence data on Dasypus pilosus (Dasypodidae). Regarding Cyclopedidae, until recently, only one species was recognized, but new genetic studies have revealed that the group is represented by seven species. In this data paper, we compiled a total of 42,528 records of 31 species, represented by occurrence and quantitative data, totaling 24,847 unique georeferenced records. The geographic range is from the southern United States, Mexico, and Caribbean countries at the northern portion of the Neotropics, to the austral distribution in Argentina, Paraguay, Chile, and Uruguay. Regarding anteaters, Myrmecophaga tridactyla has the most records (n = 5,941), and Cyclopes sp. have the fewest (n = 240). The armadillo species with the most data is Dasypus novemcinctus (n = 11,588), and the fewest data are recorded for Calyptophractus retusus (n = 33). With regard to sloth species, Bradypus variegatus has the most records (n = 962), and Bradypus pygmaeus has the fewest (n = 12). Our main objective with Neotropical Xenarthrans is to make occurrence and quantitative data available to facilitate more ecological research, particularly if we integrate the xenarthran data with other data sets of Neotropical Series that will become available very soon (i.e., Neotropical Carnivores, Neotropical Invasive Mammals, and Neotropical Hunters and Dogs). Therefore, studies on trophic cascades, hunting pressure, habitat loss, fragmentation effects, species invasion, and climate change effects will be possible with the Neotropical Xenarthrans data set. Please cite this data paper when using its data in publications. We also request that researchers and teachers inform us of how they are using these data

NEOTROPICAL CARNIVORES: a data set on carnivore distribution in the Neotropics

Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data