lunes, 29 de febrero de 2016

DIA DE LAS ENFERMEDADES RARAS

GuíaSalud. Guía de Práctica Clínica sobre Cuidados paliativos. Versión completa. Introducción a los cuidados paliativos.

http://www.guiasalud.es/egpc/cuidadospaliativos/completa/apartado04/introduccion.html


Enviado desde mi iPad

Avances en gestión clínica: La evidencia en el contínuum asistencial ¿una de las claves en el éxito o fracaso de la telemedicina?

http://gestionclinicavarela.blogspot.com.es/2016/02/la-evidencia-en-el-continuum.html?m=1

Comfort Care for Patients Dying in the Hospital

http://www.nejm.org/doi/pdf/10.1056/NEJMra1411746

Palliative Care for the Seriously Ill

http://www.nejm.org/doi/pdf/10.1056/NEJMra1404684

Toward Evidence-Based End-of-Life Care — NEJM

Toward Evidence-Based End-of-Life Care — NEJM: Perspective from The New England Journal of Medicine — Toward Evidence-Based End-of-Life Care

Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4473359/pdf/CD007760-0001.pdf

Specialist palliative care services for adults with advanced, incurable illness in hospital, hospice, or community settings—protocol for a systematic review | Systematic Reviews | Full Text

http://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-015-0121-4


Enviado desde mi iPad

domingo, 28 de febrero de 2016

MEDFAM-APS] El controvertido asunto de la vacunación antigripal

Desde Medfam Mateu Segui lo comparto.



El controvertido asunto de la vacunación antigripal


Existen cada vez más personas en contra, sea por su falta de eficacia, eficiencia o incluso por los posibles efectos secundarios. Sin embargo, es una vacuna recomendada vivamente en grupos de riesgo en nuestro país e incluso de manera generalizada  desde la infancia en EEUU. ¿Qué hay de cierto en todo ello?.




**Grohskopf LA, Sokolow LZ, Olsen SJ, Bresee JS, Broder KR, Karron RA. Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices, United States, 2015-16 influenza season. MMWR Morb Mortal Wkly Rep. 2015;64:818-825. Acceso 12-02-2016

**Committee on Infectious Diseases. Recommendations for Prevention and Control of Influenza in Children, 2015–2016 . PEDIATRICS Volume 136, number 4, October 2015 
Acceso 12-02-2016 

** Biondi EA;  Aligne A Flu Vaccine for All: A Critical Look at the Evidence . Medscape December 21, 2015

**AEP. Calendarios de vacunación (acceso 12-02-2016).   

**CDC . acceso 12-02-2016

 **Grijalva CG, Zhu Y, Williams DJ, Self WH, Ampofo K, Pavia AT, Stockmann CR, et al. Association Between Hospitalization With Community-Acquired Laboratory-Confirmed Influenza Pneumonia and Prior Receipt of Influenza Vaccination. JAMA. 2015 Oct 13;314(14):1488-97. doi: 10.1001/jama.2015.12160.

**Jefferson T, Rivetti A, Di Pietrantonj C, Demicheli V, Ferroni E. Vaccines for preventing influenza in healthy children. Cochrane Database Syst Rev. 2012;8:CD004879. Acceso 12-02-2016

***Jefferson T, Di Pietrantonj C, Rivetti A, Bawazeer GA, Al-Ansary LA, Ferroni E. Vaccines to prevent influenza in healthy adults. Cochrane Database Syst Rev. 2014;3:CD001269. Acceso 12-02-2016.

**Gross PA, Hermogenes AW, Sacks HS, Lau J, Levandowski RA. The efficacy of influenza vaccine in elderly persons: a meta-analysis and review of the literature. Ann Intern Med. 1995;123:518-527. http://www.ncbi.nlm.nih.gov/pubmed/7661497

**Salmon DA, Proschan M, Forshee R, Gargiullo P, Bleser W, Burwen DR, et al; H1N1 GBS Meta-Analysis Working Group. Association between Guillain-Barré syndrome and influenza A (H1N1) 2009 monovalent inactivated vaccines in the USA: a meta-analysis. Lancet. 2013 Apr 27;381(9876):1461-8. doi: 10.1016/S0140-6736(12)62189-8. Epub 2013 Mar 13.

**Martín Arias LH, Sanz R1, Sáinz M, Treceño C1, Carvajal A. Guillain-Barré syndrome and influenza vaccines: A meta-analysis. Vaccine. 2015 Jul 17;33(31):3773-8. doi: 10.1016/j.vaccine.2015.05.013. Epub 2015 May 18.
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viernes, 26 de febrero de 2016

trabajo sobre gestion cronicos TU MOVIL PUEDE HACER MAS SOSTENIBLE EL SISTEMA SANITARIO.EL PAIS



 ENLACE

Esther is 88 and lives alone in a small apartment. During the past few nights her breathing has become worse and worse, and her legs have edema severely enough that she cannot lie down, but sits up all night. She knows she needs health care. She phones her daughter in a nearby town, who tells her to call her home nurse. The home nurse visits and says she needs to see her general practitioner (GP). But Esther lives on the third floor and can't manage the stairs.
 
"So the nurse calls an ambulance, and Esther goes to the doctor, who says she needs to go to the hospital. Now three hours have passed. An ambulance takes her to the emergency room (ER), where she meets an assistant nurse and waits for three hours. She meets with a doctor, who examines her and orders an x-ray, and says she will have to be admitted. She comes to the ward and meets more nurses."
 


 http://elpais.com/elpais/2016/02/24/ciencia/1456314372_678739.html