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3. Recomendaciones para la prevención de la transmisión de microorganismos multirresistentes durante la atención a residentes colonizados-infectados en centros residenciales

Author

Fuentes Gómez, Víctor, Ballesteros García, Lourdes, Botello Díaz, Blanca, Díaz Molina, Carmen, Escassi Pérez, Carmen, López Ruiz, Nuria, Martínez Blanco, Javier, Montaño Remacha, Carmen, O’Donnell Cortés, Blanca, Porta Sanfeliu, María, and Ramos Gil, Roberto

Subjects
Control de enfermedades transmisibles, Bacteria, Health Care::Health Care Facilities, Manpower, and Services::Health Services::Nursing Care [Medical Subject Headings], Diseases::Bacterial Infections and Mycoses::Infection::Cross Infection [Medical Subject Headings], Andalucía, Disciplines and Occupations::Health Occupations::Medicine::Public Health::Preventive Medicine [Medical Subject Headings], Resistencia a medicamentos, Health Care::Environment and Public Health::Public Health::Public Health Practice::Communicable Disease Control [Medical Subject Headings], Instituciones residenciales, Vigilancia epidemiológica, Medicina preventiva, Cross infection, Infección hospitalaria, Health Care::Health Care Facilities, Manpower, and Services::Health Facilities::Residential Facilities [Medical Subject Headings], Phenomena and Processes::Physiological Phenomena::Pharmacological Phenomena::Drug Resistance::Drug Resistance, Multiple [Medical Subject Headings], Disciplines and Occupations::Health Occupations::Medicine::Public Health::Epidemiology [Medical Subject Headings], Carbapenem-resistant enterobacteriaceae, Organisms::Bacteria [Medical Subject Headings]
Abstract

Yes Publicación que reúne un conjunto de recomendaciones para prevenir la transmisión de microorganismos multirresistentes en la población atendida en los centros y servicios sociales de Andalucía. Su objetivo principal es proporcionar herramientas a los equipos que trabajan en los centros residenciales de nuestra comunidad autónoma, para prevenir y controlar esta transmisión en sus respectivas áreas asistenciales, ya que se ha considerado un entorno prioritario en esta cadena epidemiológica.

Published
2017

4. Effects of food and drink ingestion on body composition variables of abdominal bioelectrical impedance

Author

Fernández Vázquez, Rosalía, Martínez Blanco, Javier, García Vega, María del Mar, Barbancho, Miguel Ángel, and Alvero Cruz, José Ramón

Subjects
Food effects, Diámetro sagital abdominal, Waist circumference, Abdominal bioelectrical impedance, Visceral fat, Trunk fat, Nivel de grasa visceral, Sagittal abdominal diameter, Grasa del tronco, Circunferencia de cintura, Efectos de la comida, Impedancia bioeléctrica abdominal
Abstract

Objective: to know the changes in trunk fat and visceral fat level determined by abdominal bioelectrical impedance (BIA) as well as other anthropometric measures related to the central or abdominal fat after the ingestion of a lunch. Methods: the experimental study was conducted to assess a longitudinal intervention descriptive study. Participants: 21 subjects (10 male and 11 female), volunteers who have access to a medical assessment, with an age of 74 ± 13.43 years. Measurements: Maximal waist circumference in standing position, waist circumference at navel level in supine position and sagittal abdominal diameter (SAD). In the same position trunk fat and visceral fat level by abdominal bioelectrical impedance analysis with Tanita AB-140 (ViScan) were obtained before and after meal. Results: anthropometric measures as waist circumference in supine position and SAD did not show significant differences (P> 0.05), after food ingestion, except for a significant increase of the maximal waist circumference in standing position (P< 0.05). In addition trunk fat and visceral fat ratio did not change (P> 0.05). The percentage changes of the measures were less than 2% for waist circumference in standing position, waist circumference by Viscan, sagittal abdominal diameter and trunk fat and 5.9% for visceral fat ratio. Conclusions: the effects on trunk fat and visceral fat ratio by abdominal bioelectrical impedance are minimal after the ingestion of a portion of food and drink, although it is always recommended to do it in fasting conditions. Objetivo: conocer los cambios en la grasa del tronco y el nivel de grasa visceral determinado por BIA abdominal, así como otras medidas antropométricas relacionadas con la grasa abdominal o central después de la ingestión de una comida. Métodos: se realizó un protocolo experimental para evaluar un estudio descriptivo de intervención longitudinal. Los participantes fueron 21 sujetos (10 hombres y 11 mujeres), voluntarios que tuvieron acceso a una evaluación médica, con una edad de 74 años ± 13,43. Las mediciones antropométricas fueron: circunferencia de la cintura máxima en posición de pie, circunferencia de la cintura a nivel del ombligo en posición de decúbito supino y diámetro sagital abdominal (SAD). Además se obtuvo la grasa del tronco y el nivel de grasa visceral, por análisis de impedancia bioeléctrica abdominal, con un dispositivo Tanita AB-140 (ViScan), todo ello antes y después de una ración de comida. Resultados: las medidas antropométricas, como la circunferencia de la cintura en posición supina y SAD, no mostraron diferencias significativas (P> 0,05), después de la ingestión de alimentos, a excepción de un aumento significativo de la circunferencia de la cintura máxima en posición de pie (P< 0,05). Además, la relación entre la grasa visceral y en tronco no cambió (P> 0,05). Los cambios porcentuales de las medidas fueron menores del 2% para la circunferencia de la cintura en posición de pie, para la circunferencia de cintura por Viscan, para el diámetro sagital abdominal y la grasa del tronco, y un 5,9% para el nivel de grasa visceral. Conclusiones: los efectos de una comida y bebida sobre la grasa del tronco y el nivel de grasa visceral, medidas Correspondence: José Ramón Alvero Cruz. por impedancia bioeléctrica abdominal, son mínimas, aunque siempre es recomendable hacerlo en condiciones de ayuno.

Published
2015

6. Effects of food and drink ingestion on body composition variables of abdominal bioelectrical impedance

Author

Fernández Vázquez,Rosalía, Martínez Blanco,Javier, García Vega,María del Mar, Barbancho,Miguel Ángel, and Alvero Cruz,José Ramón

Subjects
Food effects, Waist circumference, Abdominal bioelectrical impedance, Visceral fat, Trunk fat, Sagittal abdominal diameter
Abstract

Objective: to know the changes in trunk fat and visceral fat level determined by abdominal bioelectrical impedance (BIA) as well as other anthropometric measures related to the central or abdominal fat after the ingestion of a lunch. Methods: the experimental study was conducted to assess a longitudinal intervention descriptive study. Participants: 21 subjects (10 male and 11 female), volunteers who have access to a medical assessment, with an age of 74 ± 13.43 years. Measurements: Maximal waist circumference in standing position, waist circumference at navel level in supine position and sagittal abdominal diameter (SAD). In the same position trunk fat and visceral fat level by abdominal bioelectrical impedance analysis with Tanita AB-140 (ViScan) were obtained before and after meal. Results: anthropometric measures as waist circumference in supine position and SAD did not show significant differences (P> 0.05), after food ingestion, except for a significant increase of the maximal waist circumference in standing position (P< 0.05). In addition trunk fat and visceral fat ratio did not change (P> 0.05). The percentage changes of the measures were less than 2% for waist circumference in standing position, waist circumference by Viscan, sagittal abdominal diameter and trunk fat and 5.9% for visceral fat ratio. Conclusions: the effects on trunk fat and visceral fat ratio by abdominal bioelectrical impedance are minimal after the ingestion of a portion of food and drink, although it is always recommended to do it in fasting conditions.

Published
2015

7. Association of body mass index and abdominal adiposity with cognitive function and functional status in the elderly

Author

Benítez-Porres, Javier, Fernández-Vázquez, Rosalía, Martínez-Blanco, Javier, and Alvero-Cruz, Jose Ramon

Subjects
BMI, Fat mass, Physical activity, Obesidad, Demencia senil, Dementia
Abstract

Purpose: To examine the association between body composition, functional status and cognitive function in the elderly, including potential gender differences. Methods: A total of 145 elderly (Age 81.1±9.3 years; Weight 66.2±14.4 Kg; BMI 27.5±5.5 Kg/m2), were volunteers. Abdominal bioelectrical impedance analysis and waist circumference (WC) was measured using the ViScan (Tanita Corporation). In addition, anthropometric measurements were performed. BMI and waist–hip ratio (WHR) were calculated using classical equations, and sagittal abdominal diameter (SAD) as abdominal adiposity markers. Cognitive function was evaluated through the Mini-Examination Cognitive (MEC) score and functional status was measured using the Barthel Index. The Kendall-Tau and Spearman rank correlation coefficient were used to explore associations between variables. Results/findings: Barthel score was positively associated with weight (Kendall τ = 0.12, P0.05), and inversely with age (Rho = -0.33, P

Published
2015

10. Distinguishing infections vs flares in patients with systemic lupus erythematosus.

Author

Ospina FE, Echeverri A, Zambrano D, Suso JP, Martínez-Blanco J, Cañas CA, and Tobón GJ

Subjects
2',5'-Oligoadenylate Synthetase metabolism, Biomarkers metabolism, C-Reactive Protein metabolism, Calcitonin metabolism, Diagnosis, Differential, Disease Progression, HMGB1 Protein metabolism, Humans, Infections metabolism, Leukocyte Count, Lupus Erythematosus, Systemic metabolism, Lupus Erythematosus, Systemic physiopathology, Mannose-Binding Lectin metabolism, Membrane Glycoproteins metabolism, Neutrophils, Receptors, IgG metabolism, Receptors, Immunologic metabolism, Triggering Receptor Expressed on Myeloid Cells-1, Tumor Necrosis Factor Receptor Superfamily, Member 7 metabolism, Infections diagnosis, Lupus Erythematosus, Systemic diagnosis
Abstract

SLE is a chronic autoimmune disease involving multiple systems. Patients with SLE are highly susceptible to infections due to the combined effects of their immunosuppressive therapy and the abnormalities of the immune system that the disease itself causes, which can increase mortality in these patients. The differentiation of SLE activity and infection in a febrile patient with SLE is extremely difficult. Activity indexes are useful to identify patients with lupus flares but some clinical and biological abnormalities may, however, make it difficult to differentiate flares from infection. Several biological markers are now recognized as potential tools to establish the difference between SLE activity and infection, including CRP and procalcitonin. It is possible, however, that the use of only one biomarker is not sufficient to confirm or discard infection. This means that new scores, which include different biomarkers, might represent a better solution for differentiating these two clinical pictures. This review article describes several markers that are currently used, or have the potential, to differentiate infection from SLE flares., (© The Author 2016. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.)

Published
2017
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11. EFFECTS OF FOOD AND DRINK INGESTION ON BODY COMPOSITION VARIABLES OF ABDOMINAL BIOELECTRICAL IMPEDANCE.

Author

Fernández Vázquez R, Martínez Blanco J, García Vega Mdel M, Barbancho MÁ, and Alvero-Cruz JR

Subjects
Adiposity, Aged, Aged, 80 and over, Anthropometry, Electric Impedance, Female, Humans, Male, Middle Aged, Waist Circumference, Abdomen physiology, Body Composition physiology, Drinking physiology, Eating physiology
Abstract

Objective: to know the changes in trunk fat and visceral fat level determined by abdominal bioelectrical impedance (BIA) as well as other anthropometric measures related to the central or abdominal fat after the ingestion of a lunch., Methods: the experimental study was conducted to assess a longitudinal intervention descriptive study., Participants: 21 subjects (10 male and 11 female), volunteers who have access to a medical assessment, with an age of 74 ± 13.43 years., Measurements: Maximal waist circumference in standing position, waist circumference at navel level in supine position and sagittal abdominal diameter (SAD). In the same position trunk fat and visceral fat level by abdominal bioelectrical impedance analysis with Tanita AB-140 (ViScan) were obtained before and after meal., Results: anthropometric measures as waist circumference in supine position and SAD did not show significant differences (P > 0.05), after food ingestion, except for a significant increase of the maximal waist circumference in standing position (P < 0.05). In addition trunk fat and visceral fat ratio did not change (P > 0.05). The percentage changes of the measures were less than 2% for waist circumference in standing position, waist circumference by Viscan, sagittal abdominal diameter and trunk fat and 5.9% for visceral fat ratio., Conclusions: the effects on trunk fat and visceral fat ratio by abdominal bioelectrical impedance are minimal after the ingestion of a portion of food and drink, although it is always recommended to do it in fasting conditions., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)

Published
2015
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