Antibiotic prescription for the prevention and treatment of postoperative complications after routine dental implant placement. A cross-sectional study performed in Spain

As there are no established guidelines for antibiotic prescription after dental implant placement a study was made to determine the current prescribing habits of several groups of practitioners regarding antibiotics to prevent and/or treat postoperative complications ? early failures and infections ? in relation to routine dental implant placement. An electronic survey was sent to postgraduate students and professionals with experience in routine dental implant placement who practice in Spain. The questions asked were related to whether antibiotics were routinely prescribed either pre- or postoperatively to prevent and/or treat postoperative complications during routine dental implant placement, and, if so, what antibiotics, dosage, frequency, and duration were used. Descriptive and bivariate analyses of the data were performed. Two hundred and forty-seven responses were obtained. Preventively, 17 respondents (6.9%) prescribed antibiotics only preoperatively (95% confidence interval (CI): 3.7 to 10.0%), 100 (40.5%) preferred to give them exclusively during the postoperative period (95%CI 34.4 to 46.6%) and 94 practitioners (38.1%) prescribed antibiotics both pre- and post-operatively (95%CI 32.0 to 44.1%). The most common preoperative regime was amoxicillin 2 g given orally 1 hour before the procedure (21.6%, n = 24) following amoxicillin 750 mg given orally 1 day prior to surgery (21.6%, n = 24). The most common routine postoperative regime was amoxicillin 750 mg given orally for 7 days (34.0%, n = 66). To treat postoperative infections during the osseointegration period, 233 respondents (93.2%) prescribed antibiotics (95%CI 91.4 to 97.2%). The most common regime used was amoxicillin and potassium clavulanate 875/125 mg, given orally for 7 days (51.9%, n = 121). There is no consensus among dental clinicians regarding antibiotic use during routine dental implant placement to prevent postoperative complications and/or early failures. Moreover, the most commonly-prescribed regimes differ from that recommend in the latest published studies

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Prospective individual patient data meta-analysis of two randomized trials on convalescent plasma for COVID-19 outpatients

Data on convalescent plasma (CP) treatment in COVID-19 outpatients are scarce. We aimed to assess whether CP administered during the first week of symptoms reduced the disease progression or risk of hospitalization of outpatients. Two multicenter, double-blind randomized trials (NCT04621123, NCT04589949) were merged with data pooling starting when = 50 years and symptomatic for <= 7days were included. The intervention consisted of 200-300mL of CP with a predefined minimum level of antibodies. Primary endpoints were a 5-point disease severity scale and a composite of hospitalization or death by 28 days. Amongst the 797 patients included, 390 received CP and 392 placebo; they had a median age of 58 years, 1 comorbidity, 5 days symptoms and 93% had negative IgG antibody-test. Seventy-four patients were hospitalized, 6 required mechanical ventilation and 3 died. The odds ratio (OR) of CP for improved disease severity scale was 0.936 (credible interval (CI) 0.667-1.311); OR for hospitalization or death was 0.919 (CI 0.592-1.416). CP effect on hospital admission or death was largest in patients with <= 5 days of symptoms (OR 0.658, 95%CI 0.394-1.085). CP did not decrease the time to full symptom resolution

La técnica de la rejilla en la orientación personal: Estudio de un caso

La Técnica de Rejilla (TR) se origina en el seno de la Psicología de los Constructos Personales de Kelly, y ha mostrado su utilidad en el campo de la psicología clínica. En este trabajo se ilustra el uso de esta técnica, tanto en lo que respecta a administración como a análisis e interpretación psicológica, aplicada a un caso sin rasgos patológicos. Sin embargo, la TR resulta también útil a la hora de mostrar su capacidad para darnos una imagen amplia y detallada acerca de la forma como la persona se construye a sí misma y su mundo interpersonal. A pesar de su complejidad, la TR es una técnica útil para la comprensión de problemas no clínicos pero que requieran orientación

La técnica de la rejilla en la orientación personal: Estudio de un caso

La Técnica de Rejilla (TR) se origina en el seno de la Psicología de los Constructos Personales de Kelly, y ha mostrado su utilidad en el campo de la psicología clínica. En este trabajo se ilustra el uso de esta técnica, tanto en lo que respecta a administración como a análisis e interpretación psicológica, aplicada a un caso sin rasgos patológicos. Sin embargo, la TR resulta también útil a la hora de mostrar su capacidad para darnos una imagen amplia y detallada acerca de la forma como la persona se construye a sí misma y su mundo interpersonal. A pesar de su complejidad, la TR es una técnica útil para la comprensión de problemas no clínicos pero que requieran orientación

Recycling an uplifted early foreland basin fill: An example from the Jaca basin (Southern Pyrenees, Spain)

In the northern Jaca basin (Southern Pyrenees), the replacement of deep-marine by terrestrial environments during the Eocene records a main drainage reorganization in the active Pyrenean pro-wedge, which leads to recycling of earlier foreland basin sediments. The onset of late Eocene-Oligocene terrestrial sedimentation is represented by four main alluvial fans: Santa Orosia, Cancias, Pena Oroel and San Juan de la Pena, which appear diachronously from east to west. These alluvial fans are the youngest preserved sediments deposited in the basin. We provide new data on sediment composition and sources for the late Eocene-Oligocene alluvial fans and precursor deltas of the Jaca basin. Sandstone petrography allows identification of the interplay of axially-fed sediments from the east with transversely-fed sediments from the north. Compositional data for the alluvial fans reflects a dominating proportion of recycled rock fragments derived from the erosion of a lower to middle Eocene flysch depocentre (the Hecho Group), located immediately to the north. In addition, pebble composition allows identification of a source in the North Pyrenean Zone that provided lithologies from the Cretaceous carbonate flysch, Jurassic dolostones and Triassic dolerites. Thus we infer this zone as part of the source area, located in the headwaters, which would have been unroofed from turbidite deposits during the late Eocene-Oligocene. These conclusions provide new insights on the response of drainage networks to uplift and topographic growth of the Pyrenees, where the water divide migrated southwards to its present day location. (C) 2017 Elsevier B.V. All rights reserved.This paper is a contribution to the project CGL2014-54180-P, financed by the Ministerio de Economia y Competitividad of Spain. M. Roige and S. Boya acknowledge support from the Universitat Autonoma de Barcelona (PIF grant). We are very grateful to L Caracciolo, two anonymous reviewers and the editor J. Knight for their constructive reviews that greatly helped to improve the manuscript. We are indebted to P. Labaume for a discussion in the field that has contributed to the development of this work. We would like to thank Conwy Valley Systems Limited to provide us PETROGim software for compositional data acquisition .Peer reviewe

La evaluación del estrés y del trauma: presentación de la versión española de la escala de trauma acumulativo (CTS)

This paper reviews some of the most usual definitions of stress and trauma including the notion of accumulative trauma. Then, the Spanish version of the Cumulative Trauma Scale by Kira et al (2008) is presented. It has been developed by following a process of translation and by applying it to two small groups of subjects to test it for comprehension (pilot test)

La evaluación del estrés y del trauma: presentación de la versión española de la escala de trauma acumulativo (CTS)

This paper reviews some of the most usual definitions of stress and trauma including the notion of accumulative trauma. Then, the Spanish version of the Cumulative Trauma Scale by Kira et al (2008) is presented. It has been developed by following a process of translation and by applying it to two small groups of subjects to test it for comprehension (pilot test)