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Rev Enferm [keywords]
- Deep infiltrating rectosigmoid endometriosis. Diagnostic keys. [JOURNAL ARTICLE]
- Rev Esp Enferm Dig 2014 Mar; 106(3):212-213.
- Sedation for gastrointestinal endoscopy. Clinical practice guidelines of the Sociedad Española de Endoscopia Digestiva. [JOURNAL ARTICLE]
- Rev Esp Enferm Dig 2014 Mar; 106(3):195-211.
- Liver regeneration - The best kept secret. A model of tissue injury response. [JOURNAL ARTICLE]
- Rev Esp Enferm Dig 2014 Mar; 106(3):171-194.
- Is argon plasma coagulation an effective and safe treatment option for patients with chronic radiation proctitis after high doses of radiotherapy? [JOURNAL ARTICLE]
- Rev Esp Enferm Dig 2014 Mar; 106(3):165-170.
Introduction: In severe cases refractory to medical treatment, APC appears to be the preferred alternative to control persistent rectal bleeding of patients with chronic radiation proctitis. Although successful outcomes have been demonstrated in patients previously treated with moderate doses of radiotherapy, there is reluctance towards its indication due to the concern of severe adverse events in patients treated with high doses of radiation.Objectives: The aim of this study was to assess the efficacy and toxicity of APC in the management of bleeding radiationinduced proctitis in patients treated with high doses of radiation for prostate cancer.Methods and materials: Data from 30 patients were treated with APC due to chronic radiation proctitis, were reviewed retrospectively. All cases had prostate cancer and 9 of them (30 %) underwent previous radical prostatectomy. The median dose of conformal 3D External Beam Radiotherapy (EBRT) delivered was 74 Gy (range 46-76). Median rectal D1cc and D2cc was 72.5 and 72.4 Gy respectively. Median rectal V70, V60 and V40 was 12, 39.5 and 80 %. Cardiovascular and digestive disease, diabetes, smoking behaviour, lowest haemoglobin and transfusion requirements were recorded. Indications for treatment with APC were anemia and persistent bleeding despite medical treatment. Argon gas flow was set at 1.8 l/min with an electrical power setting of 50 W.Results: Median age of all patients was 69.6 years. The median lowest haemoglobin level was 9.6 g/dL. Median timebetween completion of radiotherapy and first session of APC was 13 months. Ninety-four therapeutic sessions were performed (median 3 sessions). Median time follow-up was 14.5 months (range 2-61). Complete response with resolved rectal bleeding was achieved in 23 patients (77 %), partial response in 5 (16 %) and no control in 2 (6 %). No patients required transfusion following therapy. Two patients developed long-term (> 6 weeks) grade 2 rectal ulceration and grade 2 rectal incontinence, respectively.
- Esophageal multichannel intraluminal impedance and pH testing in the study of apparent life threatening episode incidents in infants. [JOURNAL ARTICLE]
- Rev Esp Enferm Dig 2014 Mar; 106(3):159-164.
Introduction: The conventional 24-hour pH monitoring is the gold standard for the diagnosis of gastro-esophageal reflux (GER), a possible cause of Apparent Life Threatening Episodes (ALTE). However, multichannel intraluminal impedance (MII) may provide advantages.Objectives: Comparison of the results of MII and pH monitoring in patients undergoing MII-pH monitoring in the 3-year study period because of having suffered from ALTE.Material and methods: Prospective study of MII-pH monitoring performed in our unit to infants < 12 months of ageadmitted for ALTE for a 3-year period.Results: Thirty nine patients studied. 2,692 pH monitoring episodes, with median of 24 (IQ: 15-44) episodes/patient, 1.30 (IQ: 0.80-2.60) reflux/hour, 1 (IQ: 0-4) reflux episode > 5 min per patient and clearance of 1.20 (IQ: 0.70-2.20) min/reflux. With pH monitoring analysis, 14 children (35.9 %) could have been diagnosed as GER (8 mild, 4 moderate and 2 severe) based on the classical criteria. MII identified a total of 8,895 events; only 3,219 among them were refluxes, with a median of 75 (IQ: 54-111) per patient, 1.30 (IQ: 1.3-2.6) episodes/hour). With MII-pH monitoring combination there were 21.60 (SD 15.21) acid reflux episodes, 67.33 weekly acid (SD 32.09) and 3.34 (SD 7.23) non-acid, being finally diagnosed 33 patients as GER.Conclusions: The association of pH monitoring and MII provides additional information that improves GER diagnosticperformance without posing any additional risk to the infant patient. The non-acid/weekly acid refluxes, not detected by pH monitoring, account for a high percentage of episodes, this may have diagnostic and therapeutic significance, especially in infants. Further studies are needed to assess the normality of MMI in pediatric patients.
- Argon gas in the management of radiation proctitis - Effective and safe for everyone? [JOURNAL ARTICLE]
- Rev Esp Enferm Dig 2014 Mar; 106(3):155-158.
- [In Process Citation]. [Journal Article]
- Rev Enferm 2014 May; 37(5):76.
- [In Process Citation]. [Interview]
- Rev Enferm 2014 May; 37(5):72-3.
- [Nurses and action policy: a historical and current lack]. [English Abstract, Journal Article]
- Rev Enferm 2014 May; 37(5):62-5.
Both in the past and at present, we see a very weak presence of nurses both in Spanish Parliament and in the parliaments of the seventeen autonomous communities that constitute the kingdom of Spain. The present study, focused on the current legislature (X Legislature, 2011-2015), aims to give the exact number of deputies nurses in each of the mentioned legislative chambers, and size their position in them and identify their coordinates of identity, gender, age, educational qualification and political party they belong to, in order to specify the exact percentages of participation of nurses. The conclusion of this research presents a picture so bleak that has been diagnosed, quite rightly, as "political anorexia of the nurse power".
- [In Process Citation]. [Journal Article]
- Rev Enferm 2014 May; 37(5):57-60.