Revista clínica española
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Revista clínica española · Dec 2014
[Clinico-epidemiological characteristics of acute respiratory infections caused by coronavirus OC43, NL63 and 229E].
Acute respiratory infection is a very common condition in the general population. The majority of these infections are due to viruses. This study attempted to determine the clinical and epidemiological characteristics of adult patients with respiratory infection by the coronavirus OC43, NL63 and 229E. ⋯ Acute respiratory infections caused by coronavirus mainly affect middle-aged male smokers, who are often affected by previous diseases. The most common clinical picture has been nonspecific influenza symptoms.
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Revista clínica española · Oct 2014
Patients with cancer in the intensive monitoring unit. New perspectives.
In recent years, there has been a significant improvement in the survival of patients with cancer in intensive care units (ICUs). Advances in medical and surgical treatments and better selection of patients has helped improve the life expectancy of this type of patient. An appropriate and early resuscitation in the ICU, without initial limitations on the life support techniques, has been shown to also decrease the mortality of patients with cancer. ⋯ However, the mortality rate for patients with cancer in the ICU, especially those with hematologic disease, remains high. In some cases, an ICU admission test (ICU test) is required for at least 3 days to identify patients who can benefit from intensive treatment. We would like to propose a decision algorithm for ICU admission that will help in making decisions in an often complex situation.
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Revista clínica española · Aug 2014
Characteristics and use of advance directives in a tertiary hospital. Period 2001-2011.
To evaluate the characeristics of patients who provide written advance directives and their use in healthcare practice. ⋯ The number of registered advance directives is low; they do not interfere in the care process, and the documents are considered in the final decisions of life.
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Revista clínica española · Dec 2012
[The Computer Book of the Internal Medicine resident: validity and reliability of a questionnaire for self-assessment of competences in internal medicine residents].
There are no simple and validated instruments for evaluating the training of specialists. ⋯ The items of Computer-Book of the Internal Medicine Resident showed high internal consistency and made it possible to measure the acquisition of medical competences in a team of Internal Medicine residents. This self-assessment method should be complemented with other evaluation methods in order to assess the acquisition of medical competences by an individual resident.