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RESUMEN Las úlceras por presión (UPP) son un problema de salud que deteriora la calidad de vida del paciente y su entorno. Los profesionales debemos estar preparados para afrontar este fenómeno, debemos mantener un nivel de conocimientos óptimos y actualizados. Objetivo: Evaluar la efectividad de una intervención formativa, sobre úlceras por presión, en enfermeras de cuidados intensivos del Hospital del Mar y analizar la concordancia entre la información que consta en el registro de úlceras y la información aportada por la enfermera referente del paciente. Metodología: Estudio cuantitativo, analítico, transversal. Los instrumentos para la recogida de datos fueron: un cuestionario autoadministrado pre- y postintervención formativa sobre conocimientos y un cuestionario realizado por la investigadora a las enfermeras referentes de los pacientes con úlceras por presión sobre registros en la trayectoria clínica. Resultados: Colaboraron 30 enfermeras y se obtuvo el 100% de la participación en el estudio. En el nivel de conocimientos preformación se obtuvo una nota media global de 0,547 (desviación estándar [DE] = 0,122) sobre 1 y en la posformación, esta media global fue de 0,728 (DE = 0,140). En el segundo objetivo, en los registros de las UPP se observó que en los días preformación hubo un 27% de pacientes con úlceras, de las cuales el 25% no fueron registradas, y después de la formación el porcentaje de pacientes con úlceras fue de un 9% y el 100% registradas. Conclusiones: La acción formativa mejora el nivel de conocimientos de las enfermeras sobre úlceras por presión. Los porcentajes de úlceras registradas mejoran significativamente después de la formación.

Presentado en sesión de 4 de junio de 1947

Introduction: The incidence of melanoma is rising in Spain. The prognostic stages of patients with melanoma are determined by various biological factors, such as tumor thickness, ulceration, or the presence of regional or distant metastases. The Spanish Academy of Dermatology and Venereology (AEDV) has encouraged the creation of a Spanish Melanoma Registry (REGESMEL) to evaluate other individual and health system-related factors that may impact the prognosis of patients with melanoma. The aim of this article is to introduce REGESMEL and provide basic descriptive data for its first year of operation., Methods: REGESMEL is a prospective, multicentre cohort of consecutive patients with invasive cutaneous melanoma that collects demographic and staging data as well as individual and healthcare-related baseline data. It also records the medical and surgical treatment received by patients., Results: A total of 450 cases of invasive cutaneous melanoma from 19 participant centres were included, with a predominance of thin melanomas≤1mm thick (54.7%), mainly located on the posterior trunk (35.2%). Selective sentinel lymph node biopsy was performed in 40.7% of cases. Most cases of melanoma were suspected by the patient (30.4%), or his/her dermatologist (29.6%). Patients received care mainly in public health centers (85.2%), with tele-dermatology resources being used in 21.6% of the cases., Conclusions: The distribution of the pathological and demographic variables of melanoma cases is consistent with data from former studies. REGESMEL has already recruited patients from 15 Spanish provinces and given its potential representativeness, it renders the Registry as an important tool to address a wide range of research questions., (Copyright © 2024 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.)

Copyright of Revista Argentina de Cardiología is the property of Sociedad Argentina de Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Aim: to communicate the home parenteral nutrition (HPN) data obtained from the HPN registry of the NADYA-SENPE group (www.nadya-senpe.com) for the year 2019. Material and methods: a descriptive analysis of the data collected from adult and pediatric patients with HPN in the NADYA-SENPE group registry from January 1 to December 31, 2019. Results: a total of 283 patients (51.9 % women), 31 children, and 252 adults from 47 Spanish hospitals were registered, which represents a prevalence rate of 6.01 patients per million inhabitants for year 2019. The most frequent diagnosis in adults was "palliative oncological" and "others" (21.0 %). In children, it was Hirschsprung's disease together with necrotizing enterocolitis, alterations in intestinal motility, and chronic intestinal pseudo-obstruction, with 4 cases each (12.9 %). The first reason for the indication was short-bowel syndrome in both children (51.6 %) and adults (37.3 %). The most used type of catheter was tunnelled both in children (75.9 %) and in adults (40.8 %). Sixty-eight episodes ended, all in adults, and the most frequent cause was death (54.4 %); 38.2 % were switched to oral. Conclusions: the number of collaborating centers and professionals in the NADYA registry is increasing. The main indications and reasons for HPN termination remain stable. [ABSTRACT FROM AUTHOR]

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The changes observed in nursing documentation prompted a historical study on the evolution of nursing records between 1958, when the Ministry of Health and Assistance was created, and 1998, when the Ordem dos Enfermeiros (Portuguese Nursing and Midwifery Regulator) was established. Thus, the analysis of publications on nursing records in Portuguese journals during this period was considered relevant. Objective: To identify and analyze the scientific production on nursing records published in Portuguese nursing journals between 1958 and 1998. Methodology: A bibliometric study was conducted by consulting 504 Portuguese nursing journals published between 1958 and 1998, using descriptors and inclusion criteria. Results: A final sample of 22 articles related to different aspects of nursing records was obtained. Conclusion: Nursing records have been a publication subject in Portuguese journals since 1984. The number of publications increased as changes occurred in the nursing profession. Nursing records have accompanied the nursing career’s professional reconfiguration and are essential for the profession’s autonomy. [ABSTRACT FROM AUTHOR]

Background: Complete and correct records of fall events help to implement prevention measures. However, there is lack of knowledge among healthcare personnel about the existence of a recording system or the need to record such events. The purpose of this study was that the nursing students make quality records of the fall events, and consequently to develop and implement a system to record patient fall incidents (REOC) for use during the clinical practicums of nursing students. Method: Participatory action research (critical incident analysis) was carried out at a nursing school in southern Spain and its reference hospital. Among other variables, the implementation of the REOC (intervention), the complexity of records and the students' learning outcomes were assessed. Results: The recording instrument had a significant impact on patients' health outcomes. The REOC was of medium (42.9%) and low complexity (42.9%), while 71.4% acquired new skills through the implementation. Learning outcomes were of an average level in 71.5% of the cases and positive in 28.6%. Implications for Practice: The proposed project is an example of an innovation-research-innovation experience carried out in a teaching-learning setting using a cyclical knowledge transfer and feedback process. [ABSTRACT FROM AUTHOR]

En su estilo tardío (especialmente en las fiestas palaciegas) Calderón desarrolla un abanico de registros que alterna y entreteje para lograr que las redundancias, necesarias para el adecuado seguimiento de la trama, no provoquen el tedio. Para ejemplificar esta técnica, proponemos un análisis del inicio de Auristela y Lisidante, así como de la textura de registros con que se expresan dos acontecimientos que el autor toma de una comedia de juventud, El alcaide de sí mismo, de una factura mucho más sencilla.

Resumo: O aborto permitido por lei no Brasil é um direito pouco garantido devido a múltiplas barreiras de acesso. A dificuldade em obter-se registros confiáveis e de fácil acesso, que subsidiem ações de monitoramento e avaliação pertinentes a essa temática, é outra questão preocupante relacionada à organização do sistema de saúde. Assim, esta pesquisa teve como objetivo analisar os registros de atendimentos a mulheres que realizaram aborto legal no Município de Porto Alegre, Rio Grande do Sul, no período de 2013 a 2018 e identificar sua prevalência no Sistema de Informações Hospitalares (SIH). Para isso, os prontuários dos casos de aborto previstos em lei, realizados nos quatro serviços de referência foram avaliados in loco. Os dados obtidos foram cruzados com o banco do SIH do Sistema Único de Saúde (SUS). A razão de prevalência foi estimada por meio do modelo de regressão Poisson, com variância robusta. Foram identificados, nos prontuários, 236 casos de aborto legal, dos quais 95 (40,3%) estavam registrados no SIH. Os casos cujos prontuários tinham o CID O04 (aborto por razões médicas) identificado em seus registros internos tiveram uma prevalência de 3,02 (IC95%: 1,83-4,98) vezes de constarem no SIH do que aqueles que não identificaram. Foi observado que o número de registros de aborto legal no SIH diferia dependendo do hospital; no entanto, verificou-se que, independentemente do hospital, o fato do registro interno descrever o CID O04 aumenta a prevalência de registros no SIH. Conclui-se que a falta de padronização e o sub-registro dificultam a obtenção de informações fidedignas na base de dados nacionais do SUS, aumentando a invisibilidade do aborto legal.

La lingüística de corpus es una disciplina que ofrece herramientas contundentes y datos robustos para el estudio sistemático y empírico de las lenguas naturales que posean registros orales o escritos...

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Argentina de Cardiología is the property of Sociedad Argentina de Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Argentina de Cardiología is the property of Sociedad Argentina de Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Indicators of weaknesses in the practice of medical records made by occupational therapists are evidenced in the literature, being the preparation offered, under the undergraduate and postgraduate training on this procedure, what is being questioned. This study seek to understand the process of teaching learning about medical records in the area of hospital contexts present in brazilians undergraduate courses in Occupational Therapy. This is a research with a quantitative approach. Participants were lecturers responsible for theoretical and professional internship disciplines in hospital contexts of active Occupational Therapy courses in Brazil, as well as students in professional internship practice in Occupational Therapy in hospital contexts. An online questionnaire was used as a data collection instrument, and the data were analyzed by descriptive statistics e chi square test. Fifteen teachers and 33 students participated in the study, who signaled the free narrative as the main registration model used in the medical records. Non-conformities were found in the content of assessment, intervention and discharge records, as well as the scarce offer of teaching on the elaboration of productivity indicators, quality of care and purchase and control of materials. The inconsistencies found in the teaching and learning process of medical record registration in the Brazilian undergraduate level indicate the need for greater investments in formation on documentary practice in order to ensure qualified records in professional practice. [ABSTRACT FROM AUTHOR]

Academic practices often come into conflict with vernacular practices. However, from a sociocultural and pragmatic approach, it has been shown that language develops throughout education due to the children and young people's participation across different permeable and interdependent communicative contexts. This thematic issue includes nine papers that examine the relations between languages and learning--going beyond the simple dichotomy of "in-school and out-of-school". From a diversity of theoretical and methodological perspectives, the studies address languages situated, emphasizing the register, the discursive genre, or the disciplinary field. Some of the studies highlight verbal language learning from the receptive or productive perspective, while others focus on the interactions between modalities and semiotic modes for the construction of different genres. The papers also conceptualize learning in different ways. It is argued that language development serves as a precursor and continues as a coordinated and crucial evolutionary process for learning to read and write. Some of the authors propose that language knowledge facilitates learning, as they underline the epistemic potential of reading and writing as a tool for reflection. The study of learning is also extended beyond the school institution, exploring cultural practices in digital spaces. The papers offer results that contribute to the field of research on language development and its teaching and outline the implications for pedagogical practices since they make the role of languages in the construction of learning more explicit, based on the valuation of linguistic, contextual, and cultural diversity. [ABSTRACT FROM AUTHOR]

Three new records of tree species are listed for the Salvadoran flora: Phyllostylon rhamnoides, Vitex gaumeri, and Lonchocarpus rugosus ssp. gillyi native to Mexico, Central and South America. El Salvador has 1,213 arboreal taxa, of which 1,000 are native and 213 taxa are exotic or cultivated, including subspecies and varieties (Linares 2003). Woody plants at some point reaches 3 m in height and more than 10 cm in diameter at chest height (DBH). Despite the fact that the checklist of Berendsohn et al (2009, 2012, 2016) represents the work of several years of research, including studying herbarium collections abroad as well as herbaria in El Salvador, it does not include the three species reported here. Berendsohn et al (2009, 2012, 2016) reports 1,191 species, 115 subspecies and varieties, and three groups of cultivars, representing 1,206 taxa of which 948 are considered native to El Salvador. The discrepancies in the numbers may be due to the fact that some little-known taxa such as Plumeria marialenae J.F. Gut. & J. Linares (Gutiérrez & Linares 2006) are considered synonymous by some authors. The three new country records were found in the north and south west of the country in the departments of Santa Ana, Chalatenango and Ahuachapán, areas of high arboreal diversity. [ABSTRACT FROM AUTHOR]

Copyright of @limentech: Ciencia y Tecnología Alimentaria is the property of Journal @limentech, University of Pamplona and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Spain is the European country where more assisted reproduction techniques (ART) are performed, reaching 9% of newborns. The objective of this article is to introduce the legal framework and to analyze some ethical questions, not without controversy, in relation to the anonymity of gamete donors and the concealment of origin by ART from their children. Spanish legislation establishes the relative anonymity of donors: both gamete recipients and born children have the right to obtain general information about them as long as their identity is not included, but in situations of risk to the life and health of the children allows your bankruptcy. Likewise, an unequivocal right to privacy and confidentiality of submission to the TRA is established. The movement aimed at introducing in our country a legislative amendment that ends the anonymity of gamete donors is based on the right of those children to know their biological origin. Along with legal changes, the attitude of parents and professionals must gradually change towards more transparent and responsible communication, based on the experiences of adults conceived by these techniques, and those adopted. Building values such as trust and truth in the family relationships from responsibility requires placing the children, largely forgotten and the most vulnerable part, at the center of the debate. Resumen: España es el país europeo donde se realizan más técnicas de reproducción asistida (TRA), alcanzando el 9% de los nacidos. El objetivo de este artículo es introducir el marco legal y analizar algunos aspectos éticos, no exentos de controversia, en relación con el anonimato de los donantes de gametos y la ocultación del origen mediante TRA a los hijos. La legislación española establece el anonimato relativo de los donantes: tanto las receptoras de gametos como los hijos nacidos tienen derecho a obtener información general de los mismos siempre que no incluya su identidad, pero ante situaciones de riesgo para la vida y la salud de los hijos permite su quiebra. Asimismo, se determina un inequívoco derecho a la intimidad y confidencialidad del sometimiento a las TRA. El movimiento tendente a introducir en nuestro país una modificación legislativa que acabe con el anonimato de los donantes de gametos, se basa en el derecho de los nacidos a conocer su filiación biológica. Junto a los cambios jurídicos, la actitud de padres y profesionales debe ir modificándose hacia una comunicación más transparente y responsable, en función de las experiencias de los adultos concebidos por estas técnicas, y de los adoptados. Construir valores como la confianza y la verdad en el ámbito de las relaciones familiares desde la responsabilidad, requiere colocar a los hijos, grandes olvidados y parte más vulnerable, en el centro del debate.

El registro de lupus de la Sociedad Española de Reumatología (RELESSER) es un registro multicéntrico de pacientes con lupus eritematoso sistémico seguidos en servicios de reumatología españoles, que contiene cuantiosa información sobre 4.024 pacientes. Hasta la fecha han sido publicados 14 análisis sobre la fase transversal del registro. Se describen los resultados más relevantes, a criterio de los autores, concernientes a las características clínicas acumuladas, nivel de actividad, tratamientos, refractariedad, daño y mortalidad. Se revisan asimismo los resultados de análisis específicos sobre el lupus incompleto, la nefritis lúpica, las manifestaciones respiratorias, los eventos cardiovasculares, las infecciones graves, las neoplasias, la fibromialgia, el lupus en varones, el lupus en latinoamericanos y el lupus de inicio juvenil, comparando los diferentes subgrupos con el total de la cohorte. RELESSER se ha constituido como uno de los registros clínicos de lupus eritematoso sistémico más importantes del mundo, resultando altamente productivo en términos de generación de conocimiento de la enfermedad en pacientes españoles, útil también para toda la comunidad científica. The lupus register of the Spanish Society of Rheumatology (RELESSER) is a multicentre register of patients with systemic lupus erythematosus (SLE) under follow-up by Spanish Rheumatology Services. It contains data on a total of 4024 patients with SLE. So far, 14 studies have been published from the transversal phase of RELESSER. Here we report the more relevant contributions of those studies, according to the authors' perspective, concerning cumulative clinical characteristics, level of activity, treatments, refractory disease, damage and mortality. We also review the main results of the analysis regarding incomplete SLE, lupus nephritis, respiratory manifestations, cardiovascular disease, serious infection, malignancies, fibromyalgia, SLE in males, SLE in Hispanics and juvenile-onset SLE, comparing the main characteristics of each subgroup to the global cohort. RELESSER has become one of the most important clinical SLE registers around the world, with a high yield in terms of knowledge generation about the disease in Spain, also useful for the entire scientific community. [ABSTRACT FROM AUTHOR]

Copyright of Mendive - Revista de Educacion is the property of Universidad de Pinar del Rio and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Decree 15/2022, of March 1, approves the General Regulation for the implementation of Law 3/2015, of March 5, on Hunting in Castilla-La Mancha. The regulation aims to strengthen hunting in biological conservation and the responsible use of the natural environment, promoting collaboration among all parties involved. It establishes requirements for hunting practices, defines game species and habitats, regulates falconry, hunting grounds, necessary infrastructure, and the planning of hunting exploitation. Additionally, provisions are established regarding the administration and surveillance of hunting activities. The regulation came into effect on March 3, 2022, and repeals previous provisions related to hunting in Castilla-La Mancha. [Extracted from the article]

Introduction: The value of scientific collections lies in the fact that the records are directly linked to real physical specimens allowing us to learn the advances in taxonomy, biogeography and evolutionary history of the species. In El Salvador, the scientific collections are represented mostly by specimens of terrestrial vertebrates and, to a lesser proportion, marine invertebrates, specifically for the group of echinoderms their representation is scarce. Objective: To enlist the scientific collections in which echinoderm specimens of El Salvador are deposited, to know about the efforts made to collect these specimens and evaluate the contribution of the collections to the knowledge of the taxon in the country. Methods: Review of open databases of 18 foreign and national collections; collecting biological information, number of specimens, site, year of collection and collector. Results: 536 specimens were found in 192 records of echinoderms deposited in six scientific collections, national and foreign, classified into 40 species, one of them new for El Salvador: Ophionereis perplexa. The National Museum of Natural History (Smithsonian) and the Institute of Marine Sciences and Limnology of the University of El Salvador have the largest number of specimens (Smithsonian has the oldest specimens). Conclusions: The representation of specimens in national and foreign scientific collections is acceptable, with 67 % of the total reported for El Salvador. We recommend continuation of work in shallow-waters and start of deep-water study. [ABSTRACT FROM AUTHOR]

Copyright of Language, Society & Communication / Llengua, Societat i Comunicació is the property of Llengua, Societat i Comunicacio and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de la ALAD is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Real-world registries have been critical to building the scientific knowledge of rare diseases, including Pulmonary Arterial Hypertension (PAH). In the past 4 decades, a considerable number of registries on this condition have allowed to improve the pathology and its subgroupś definition, to advance in the understanding of its pathophysiology, to elaborate prognostic scales and to check the transferability of the results from clinical trials to clinical practice. However, in a moment where a huge amount of data from multiple sources is available, they are not always taken into account by the registries. For that reason, Machine Learning (ML) offer a unique opportunity to manage all these data and, finally, to obtain tools that may help to get an earlier diagnose, to help to deduce the prognosis and, in the end, to advance in Personalized Medicine. Thus, we present a narrative revision with the aims of, in one hand, summing up the aspects in which data extraction is important in rare diseases -focusing on the knowledge gained from PAH real-world registries- and, on the other hand, describing some of the achievements and the potential use of the ML techniques on PAH., (Copyright © 2024 Elsevier España, S.L.U. All rights reserved.)

Objective: To design a homogeneous methodology for the registration and analysis of pharmaceutical interventions performed in Spanish critical adults' care units., Method: Observational, prospective and multicenter study. In the first stage, a national registry of pharmaceutical interventions will be agreed upon and subsequently all the pharmaceutical interventions performed on adult patients admitted to Spanish CCUs during eight weeks will be recorded. Variables related to the type of CCU, the drug involved in the intervention, type of intervention (indication, effectiveness, safety), recommendation made by the pharmacist and the degree of acceptance will be evaluated. Risk and incidence will be calculated for each of the medication errors detected. The χ2-squared test or Fisher exact test will be used for categorical variables and Mann-Whitney U or Kruskal-Wallis test for continuous variables. All tests will be performed with a significance level α = 0.05 and confidence intervals with confidence 1- α., Discussion: The results obtained from this project will make it possible to obtain a homogeneous classification of the pharmaceutical interventions performed in CCU, a national record and an evaluation of the weak points with the aim of developing strategies for improvement in the pharmaceutical care of the critically ill patient., (Copyright © 2024. Publicado por Elsevier España, S.L.U.)

Resumo Objetivo Avaliar registros dos cartões de pré-natal de puérperas atendidas em maternidades públicas e privadas. Método Estudo transversal que analisou fotos de 394 cartões de pré-natal de mulheres que participaram da pesquisa Nascer em Belo Horizonte. Os registros foram avaliados quanto ao preenchimento, legibilidade e completude das informações sociodemográficas, clínicas, obstétricas e exames laboratoriais. Resultados Evidenciou-se que 88,5% dos cartões não apresentaram registro do nome da unidade básica de referência, 76,9%, da maternidade de referência e 82,4%, da instituição de realização do pré-natal. A avaliação do edema, o uso de sulfato ferroso e ácido fólico não foram registrados em 55%, 91,1% e 92,6% dos cartões, respectivamente. A ausência de registros no gráfico de peso foi identificada em 86,8% dos cartões, e no de altura uterina, 79,7%. Conclusão e implicações para a prática Existem grandes lacunas no registro do processo de cuidado pré-natal nos cartões e cadernetas, o que pode comprometer a qualidade da assistência e o acompanhamento das gestantes. Os achados apontam para a necessidade da educação permanente em serviço direcionada aos profissionais de saúde, como os enfermeiros, quanto à importância da realização e registro das ações preconizadas no cuidado pré-natal.

La investigación se realizó en dos ganaderías lecheras (ambas colindantes), ubicadas en el departamento de Sonsonate, El Salvador. La ganadería 1 cuenta con 140 vacas en ordeño y la ganadería 2, con 750 vacas en ordeño. El estudio incluyó a las vacas paridas en los años 2015 a 2017 con el objetivo de estudiar el efecto de la paridad, aborto y padecimientos posparto sobre el desempeño reproductivo y productivo; la fase de campo con una duración de 8 meses. Se accesó a los registros actualizados a los eventos reproductivos y al control lácteo, en el programa VAMPP® Bovino 3.0 en la ganadería 1 y AfiFarm® en la ganadería 2. La información fue tabulada y ordenada en una base de datos con una hoja electrónica del programa Excel®. Se definieron como variables de agrupación la paridad, la ocurrencia de mastitis, metritis, retención de placenta y abortos y como variables dependientes días al primer celo, días al primer servicio, intervalo primer servicio-concepción, días abiertos, servicios por concepción e intervalos entre partos, producción diaria (kg) y producción por lactancia total (kg). El efecto de la paridad sobre los parámetros reproductivos fue evaluado por medio de un análisis de varianza no paramétrico, mientras que su efecto sobre los parámetros productivos se evaluó por medio de un análisis de varianza. Los efectos del aborto y los padecimientos pospartos sobre los parámetros productivos se evaluaron por medio de una prueba de T student y para los parámetros reproductivos una prueba de Wilcoxon (Mann-Whitney U). Las diferencias se consideraron significativas a una probabilidad menor o igual al 5% (p ≤ 0.05). La paridad se asoció significativamente (P0.05) sobre la mayoría de los parámetros reproductivos y productivos con excepción de los servicios por concepción en la ganadería 1 y los días al primer celo en la ganadería 2. Mientras que la metritis afectó negativamente (P

Objetivo. Describir las características histopatológicas del cáncer gástrico en pacientes de un hospital de tercer nivel de atención. Métodos. Se realizó un estudio descriptivo, retrospectivo, transversal en 103 pacientes. Los criterios de inclusión fueron: poseer 18 o más años de edad, mujer o varón, tener estudio de endoscopia digestiva alta y estudio anatomo patológico con diagnóstico de adenocarcinoma. Los criterios de exclusión, por su parte: no tener examen endoscópico o resultado de biopsia gástrica, tener diagnostico compatible con otros tipos de neoplasias. Los datos fueron obtenidos en un cuestionario del registro de vigilancia epidemiológica del servicio oncología del hospital. Resultados. El promedio de edad fue de 67 años. El cáncer gástrico se presentó en un 83,5 % en mayores de 50 años de edad. El grupo etario más afectado estuvo entre la sexta y octava década (56,4 %), con similar frecuencia de presentación en hombres (50,5 %) y mujeres (49,5 %). Los sitios de afectación gástrica fueron: antro corporales en 71 (68,9 %) casos; antro en 23 (22,3 %); píloro en 5 (4,9 %); cuerpo y fondo en 2 (1,9 %) y cardias en 2 (1,9 %). Solo en 50 (100 %) casos se realizó estudio histológico, de los cuales la variedad de cáncer gástrico más común encontrado fue el tipo difuso en 33 (66 %) casos y el intestinal en 17 (34 %). El adenocarcinoma pobremente diferenciadose presentó en 24 (48 %) casos, medianamente diferenciado en 15 (30 %) y carcinomas mixtos en 6 (12 %) casos. Conclusión. El adenocarcinoma gástrico difuso con compromiso de más de una región anatómica es el más frecuente y el tipo histológico pobremente diferenciado es el más común.

The Royal Decree 1054/2021 establishes and regulates the Registry of professional operators of plants, the measures to be complied with by authorized professional operators to issue phytosanitary passports, and the obligations of professional operators of plant reproductive material. The objective is to simplify and harmonize the basic regulations in accordance with current European regulations. Rules are established for the registration of operators, authorization conditions, issuance of phytosanitary passports, protection measures for plant material, and official controls. In addition, additional phytosanitary measures are adopted to protect the production and commercialization of plant reproductive materials. Compliance with this decree is subject to phytosanitary inspections and certifications. [Extracted from the article]

Objective: to evaluate the quality of nursing records carried out in patients' records in a municipal public hospital in the northern region of Brazil. Method: quantitative study, documentary type in medical records of patients who remained hospitalized at least 48 hours. The collection instrument evaluated the quality of the records, as defined by the Federal Nursing Council. Descriptive analyzes were carried out using Stata®13.0. Results: Of the total of 248 medical records, 25.9% were considered complete, 67.1% were incomplete, 6.7% were incorrect and 0.3% were not filled. In more than 90% of the studied registers it was verified that there was no sequential and concise writing, use of technical terminologies and description of the care provided. Conclusions: Nursing records were considered of unsatisfactory quality. As possible ways to be tried it is suggested the use of specific forms for the Systematization of the Nursing Assistance, implantation of the electronic medical record and standardization of acronyms. [ABSTRACT FROM AUTHOR]

Given the imminent disappearance of the traditional census in Spain and its replacement with a register-based census, this work provides a discussion on the implications and challenges of this change. For this, a cartography of global census methodologies and a genealogy of recent changes occurring in various countries of the United Nations Economic Commission for Europe (UNECE) have been presented, highlighting the political, social, methodological and technical debates that have arisen. Finally, Spain has been considered within this context. This study is based on secondary sources, including a review of documents from the Spanish National Statistical Institutes and proceedings from European Statisticians Conferences. [ABSTRACT FROM AUTHOR]

Copyright of Revista Bioetica is the property of Conselho Federal de Medicina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Aim: to communicate home parenteral nutrition (HPN) data obtained from the HPN registry of the NADYA-SENPE group (www.nadya-senpe.com) for the year 2018 Material and methods: descriptive analysis of the data collected from adult and pediatric patients with HPN in the NADYA-SENPE group registry from January 1st, 2018 to December 31st, 2018. Results: there were 278 patients from 45 Spanish hospitals (54.7% women), 23 children and 255 adults, which represent a prevalence rate of 5.95 patients/million inhabitants/year 2018. The most frequent diagnosis in adults was "palliative cancer" (22.0%), followed by "others". In children it was Hirschsprung's disease together with necrotizing enterocolitis, with four cases (17.4%). The first indication was short bowel syndrome in both children (60.9%) and adults (35.7%). The most frequently used type of catheter was tunneled in both children (81.0%) and adults (41.1%). Ending 75 episodes, the most frequent cause was death (52.0%) and change to oral feeding (33.3%). Conclusions: the number of centers and collaborating professionals in the registry of patients receiving HPN remains stable, as well as the main indications and reasons for termination of HPN. [ABSTRACT FROM AUTHOR]

Antecedentes: la productividad de un rebaño se determina a partir de la captura de información derivada de la medición de los parámetros productivos en los animales; sin embargo‚ en comunidades indígenas no existen datos que permitan evaluar el desempeño de los animales bajo un manejo tradicional ancestral. Objetivo: evaluar el desempeño productivo de ovinos y caprinos en condiciones de pastoreo extensivo en La Alta Guajira‚ Colombia. Métodos: la evaluación se realizó en la comunidad indígena Wayúu Jalein ubicada en el municipio de Uribia‚ La Guajira‚ Colombia. La región se clasifica como bosque seco tropical (Bs-T) a 137 m.s.n.m‚ temperatura media de 28 ºC‚ humedad relativa promedio de 76‚4 %‚ precipitación media anual de 362‚4 mm con máximos de lluvias en el mes de septiembre y octubre. Se registró el peso vivo de los animales‚ durante ocho (8) meses del año 2021; junto con el dato de los partos presentados en el período‚ peso al nacimiento y sexo. La información se analizó en el software OvisWebs. Resultados: se hicieron 667 pesajes‚ 491 en caprinos‚ de los cuales 82 % fueron hembras adultas (209)‚ seguido de cabretonas (165); y 176 en ovinos‚ siendo el 91‚4 % hembras adultas. El peso vivo promedio adulto en los ovinos y caprinos fue de 34‚41 y 29‚63 kg respectivamente‚ con ganancia promedio de peso de 0‚04 kg por día en ovinos y de 0‚03 kg por día en caprinos. Se registraron 108 partos en caprinos (69‚4 % en época seca) con un peso vivo promedio de 2‚63 kg versus 4‚23 kg en época lluviosa con valores de 269 días entre uno y otro parto. En los ovinos se registraron 30 partos durante el período de evaluación repartidos casi en mitad para cada época del año‚ con peso al nacimiento de 3‚7 kg y un intervalo entre partos de 229 días. Conclusiones: los ovinos y caprinos evaluados‚ presentan parámetros productivos y reproductivos similares a los reportados en producciones de poblaciones no indígenas bajo condiciones medioambientales parecidas‚ lo cual‚ puede atribuirse al tipo y disponibilidad de alimento presente; al manejo que se les presta a los animales por parte de los pastores‚ y a la adaptación de los animales al medio en el cual se desempeñan. [ABSTRACT FROM AUTHOR]

Objective: Review the historical records of house dust mites in the Pacific and continental Caribbean countries of Latin America. Methods: A systematic review was carried out, adapting the PRISMA method, in digital repositories using a combination of the terms in Spanish: "domestic mites" "allergia" and in English: "dust mites" "allergy" with the names of the countries "Costa Rica", "Panama", "Venezuela", "Colombia", "Ecuador" and "Peru", between 1970 and 2022. The inclusion criteria were: presence of the mite species, city or municipality, country, height above the sea level and year. A database was built in Microsoft Excel Office 365®. Maps were created using QGIS 3.30 geographic information systems, and descriptive statistics were used to analyze the data. Results: From the search and identification, 3,959 references were obtained, of which 133 were considered potentially eligible; Of these, 45 met the inclusion criteria, and only 32 presented records of domestic mite species. Historically there were 424 records and 27 species (18 genera and 9 families). The countries with the most studies and records were Colombia (14 and 242), Panama (8 and 64) and Peru (5 and 74). 66% (281/424) of the records were of the species Dermatophagoides pteronyssinus (81), followed by Blomia tropicalis (58), D. farinae (40), Chortoglyphus arcuatus (39), Cheyletus sp. (33) and Euroglyphus maynei (30). The species with the greatest altitudinal range were D. pteronyssinus, (2-4800 masl) and E. maynei (2- 3399 masl). The D. siboney mite, considered endemic to Cuba, was reported in Colombia and Panama. Conclusions: A synthesis was presented on the historical geographical and altitudinal distribution of house dust mites in countries of the Pacific and continental Caribbean of Latin America, which in turn allowed us to determine the species with the greatest records, highlighting those of importance in allergology. These findings are an input for acarological surveillance in public health. [ABSTRACT FROM AUTHOR]

Copyright of Revista de la Academia Colombiana de Ciencias Exactas, Físicas y Naturales is the property of Academia Colombiana de Ciencias Exactas, Fisicas y Naturales and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Occupational Therapy of University of São Paulo / Revista de Terapia Ocupacional da Universidade de São Paulo is the property of Revista de Terapia Ocupacional da USP and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract We herein describe an inter-specialists unit for the monitoring and management of biological therapies and analyze the utilization of biological agents across specialties and diseases. Protocols and therapeutic objectives, as well as outcomes and protocol deviations, are shared and discussed periodically between specialists. All patients treated at one centre with any biological treatment from January 2000 by rheumatology, gastroenterology, dermatology, or neurology, regardless diagnosis, are identified by Clinical Pharmacy and included in an ongoing database that detects use and outcome. The drugs, survival, and reasons for discontinuation differ significantly across specialties. This approach has helped us recognizing the challenges and size of the problem of sharing expensive medications across specialties, and has served as a starting point to contribute to the better use of these compounds. [ABSTRACT FROM AUTHOR]

Introduction: Objective: to present the results of the Spanish home enteral nutrition (HEN) registry of the NADYA-SENPE group for the year 2016 and 2017. Material and methods: from January 1st 2016 to December 31st 2017, the HEN registry was recorded and afterwards a further descriptive and analytical analysis was done. Results: in 2016, 4,578 active patients were recorded and prevalence was 98.33 patients per one million inhabitants; in 2017, 4,777 patients were recorded, with a prevalence of 102.57 per one million inhabitants; 50.8% were males in 2016 and 50.5% in 2017. During the period 2016-17, median age was 71.5 years (IIQ 57-83), 1,558 HEN episodes were finished and the main cause was death (793 patients, 50.89%). Adult males were younger than females (65.3 vs. 73.3 years, p-value < 0.001). The most frequent diagnosis was the neurological disorder that presents with aphagia or severe dysphagia (59%). Nasogastric tube was the most frequent administration route (48.3%) and it is the most widely used in elderly patients (p < 0.001). One hundred and twenty-six pediatric patients were registered (57.1% females). Median age at the beginning of HEN in children was four months. "Other disorders" was the most recorded diagnostic group (41.3%), followed by the group of neurological disorder that presents with aphagia or severe dysphagia. Regarding children, 57.6% were fed through gastrostomy and the younger ones were fed through nasogastric tube (p-value 0.001). Conclusions: the number of patients in the registry, as well as the number of participating centers, is progressively increasing. The main characteristics of the patients have not changed. Despite the increase in diagnostic possibilities in the pediatric population, the classification within the group of "Other pathologies" is quite significant. [ABSTRACT FROM AUTHOR]

Copyright of Boletín Científico Centro de Museos de Historia Natural is the property of Universidad de Caldas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)