Atencion primaria
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The treatment of type 2 diabetes is based on four fundamental pillars: diet, exercise, therapeutic education, and pharmacological therapy. There are ten groups of antidiabetic drugs that can be classified according to their mechanism of action, effects on body weight, risk of hypoglycemia, and ability to reduce the development of complications. The choice of medication will be individualized based on the preferences and characteristics of the individual, taking into consideration the presence of cardiovascular disease, heart failure, chronic kidney disease, obesity, or non-alcoholic fatty liver disease. The type 2 diabetes mellitus treatment algorithm from the RedGDPS Foundation is an evidence-based tool that can help us select the most appropriate pharmacological therapy depending on the characteristics of each patient.
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To describe the analgesic treatment of patients with advanced chronic disease (ACD), to determine pain management, and to detect opportunities for improvement. ⋯ In patients with ACD and palliative needs, the use of strong opioids continues to prevail in the hospital setting and oncological disease, although pain is highly prevalent in all EOL trajectories and places of care. The high percentage of negative PMI reveals the opportunity for an individualised analgesic ladder stepping for better pain control. Also, incorporating non-pharmacological approaches could help improve pain in these patients.
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To evaluate the validity and reliability of a patient satisfaction questionnaire designed to measure the quality of care in university podiatry clinics, and to analyze the perception of care quality in this teaching-assistance setting. ⋯ The results indicate high satisfaction with care at CUP-UDC. The analyzed instrument proved to be valid and reliable for assessing care quality in the university podiatry setting from the service user's perspective. The new factor structure provides a more detailed view of the factors influencing care quality, offering valuable information to improve clinical practice and podiatry training.
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Oral anticoagulation Self-control programs have demonstrated efficiency over recent years. ⋯ The results showed that knowledge improved after the training session and the TTR values are better after the training which appears to be an effective action to improve the knowledge about oral anticoagulation in these patients.