Servicio Aragones de Salud

Zaragoza, Spain

Servicio Aragones de Salud

Zaragoza, Spain
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Jimenez Navascues M.L.,University of Valladolid | Orkaizaguirre Gomara A.,University of the Basque Country | Bimbela Serrano M.T.,Servicio Aragones de Salud
Index de Enfermeria | Year: 2016

Objective: To describe the lifestyle of chronic hypertensive and diabetic patients, to determine the factors that influence self-care and to analyze their perception of professional care. Methods: A qualitative study using semi-structured interviews, from a biographical perspective. Data was analyzed using the conceptual framework proposed by the "Aurora Mas" research group. Results: The respondents have assumed their diseases and self-care. They have adopted a healthy lifestyle and they value very positively the support of their family and social networks. They show trust and confidence toward health professionals. Conclusions: The interviews are useful to learn about the lifestyles of chronic patients as they allow analyzing the perception of patients on the factors that influence self-care. Healthcare professionals should monitor physiological indicators of chronic diseases and the emotional and social dimensions of patients, since they affect the perception of the quality of life. © 2016 Fundación Index.


Martinez-Sanz E.,Servicio Aragones de Salud | Alkhraisat M.H.,Complutense University of Madrid | Gonzalez-Meli B.,Universitario Gregorio Maranon | Berenguer B.,Universitario Gregorio Maranon | And 2 more authors.
Journal of Craniofacial Surgery | Year: 2012

In this work, we investigated the ability of injected recombinant human bone morphogenetic protein 2 (rhBMP-2) on brushite cement (a β-tricalcium phosphate-based biomaterial) and collagen gel as carriers to induce osteogenic differentiation in the palatal submucosa of 10-day-old rats. This was part of a broader study aiming to create bone in the palatal submucosa at cleft palate edges in the search for a minimally invasive treatment. Thirteen treated animals, 7 with rhBMP-2/brushite cement and 6 with rhBMP-2/collagen gel, were injected with 5 to 10 μL of each biomaterial in the right palatal submucosa at the level between the second and third rugae. The contralateral site was uninjected and served as the control. Six weeks after injection, both brushite cement and collagen gel were histologically unrecognizable in all treated animals. New bone structures such as ossicles of woven bone were not detected. However, an augmentation in the thickness of the palatal fibromucosa was observed at the injection site of all palates. In addition, immunolabeling for osteopontin, proliferating cell nuclear antigen, and TUNEL revealed intense osteogenic induction at the injection site with both constructs, which was negative in the control site from the same specimens; no differences regarding cell proliferation and death were observed. The present study confirms the feasibility of generating osteogenic cells in the palatal submucosa by injecting low doses of rhBMP-2 in these 2 biomaterials, together with their inability to form bone. Copyright © 2012 by Mutaz B. Habal, MD.


Marchiori E.J.,Complutense University of Madrid | Ferrer G.,Catedu Centro Aragones Of Tecnologias Para La Educacion | Fernandez-Manjon B.,Complutense University of Madrid | Fernandez-Manjon B.,Massachusetts General Hospital | And 5 more authors.
Emergencias | Year: 2012

Objectives: 1) To assess the usefulness of an educational video game to teach the theory of basic life support to high school students; 2) to compare video-game instruction to the traditional teaching of basic life support maneuvers through practical demonstrations by health care professionals. Methods: An educational video game was developed according to the ILCOR 2010 guidelines. The study was carried out in a sample of 344 secondary school students in Aragon, Spain. The students, who were allocated to an experimental group and a control group, took a test before and after instruction in order to detect change in knowledge. Results: Viable data were obtained for 331 students. The 187 students in the experimental group had a mean grade of 5.41 (out of a maximum score of 10) before playing the game and a mean grade of 7.48 afterwards. Students in the control group had a mean grade of 4.95 before and 8.56 afterwards. The differences in each group were significant (t test). After bivariate analysis of variance, the differences in both groups remained significant. Conclusions: The experimental group achieved a significant increase in theoretical knowledge, although they learned less than students in the control group. The relevance of these results rests on the lower cost per instructional session for the video game, which can be played an unlimited number of times without supervision. Furthermore, the game can be distributed free of charge to institutions or individuals.


PubMed | Complutense University of Madrid, Servicio Aragones de Salud, Hospital General Universitario Gregorio Maranon, Hospital Universitario Clinico San Carlos and Centro Militar Of Veterinaria
Type: Journal Article | Journal: Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery | Year: 2013

We have recently presented the Old Spanish Pointer dog, with a 15-20% spontaneous congenital cleft palate rate, as a unique experimental model of this disease. This study aimed to describe the cleft palate of these dogs for surgical research purposes and to determine whether congenital cleft palate influences maxillofacial growth. Seven newborn Old Spanish Pointer dogs of both sexes, comprising a cleft palate group (n=4) and a normal palate group (n=3), were fed using the same technique. Macroscopic photographs and plaster casts from the palate, lateral radiographs and computer tomograms of the skull were taken sequentially over 41 weeks, starting at week 5. The cleft morphology, the size and the tissue characteristics in these dogs resembled the human cleft better than current available animal models. During growth, the cleft width varies. Most of the transverse and longitudinal measures of the palate were statistically lower in the cleft palate group. The cleft palate group showed hypoplasia of the naso-maxillary complex. This model of congenital cleft palate seems suitable for surgical research purposes. A reduced maxillofacial pre- and post-natal development is associated to the congenital cleft palate in the Old Spanish Pointer dog.


Miranda Arto P.,Servicio Aragones de Salud | Ferrer Dufol A.,Hospital Clinico Universitario Lozano Blesa | Ruiz Ruiz F.J.,Hospital Clinico Universitario Lozano Blesa | Menao Guillen S.,Hospital Clinico Universitario Lozano Blesa | Civeira Murillo E.,Hospital Clinico Universitario Lozano Blesa
Anales del Sistema Sanitario de Navarra | Year: 2014

Background. There are few Spanish studies on acute poisoning in the elderly despite the associated risk factors of this group of patients. Material and methods. Retrospective descriptive study of acute poisonings treated in the Emergency Service of the University Hospital of Zaragoza from 1995 to 2009 on patients 65 years old or older Results. A total of 762 patients were selected in the study (4.74% of all acute poisonings) with a mean age of 74.16 (SD ± 6) years. Ingestion was the major route of exposure (85%) and alcohol overdose (28, 7%) was the most frequent type of poisoning. A trend was also observed showing a lower emetic treatment and gastric lavage and an increase in activated charcoal. Benzodiazepines (14.3%) and toxic household products (11%) with caustic properties were also the main toxics found in the study. Conclusions. Acute poisonings in the elderly required more hospitalizations, have a higher mortality and more autolytic attempts which result in death.


Review and assessment of a selected paper. Authors’ conclusions: azithromycin decreased interleukin-8 nasopharyngeal concentration during the study period, and delayed the onset of a subsequent third episode of recurrent wheezing during the monitoring period. Reviewers’ commentary: the results of this trial are not sufficient to recommend indiscriminate use of azithromycin for the treatment of acute bronchiolitis during admission, nor to prevent possible further episodes of recurrent wheezing. If azithromycin actually had any clinically important effect on acute bronchiolitis and its recurrences, it should be demonstrated in a clinical trial specifically designed for this purpose, since the results of a pilot trial cannot be taken as a basis for changes in everyday clinical practice. © 2015, Spanish Association of Primary Care Pediatrics. All rights reserved.


Galindo Morales G.,Fisioterapeuta | Lalana Josab M.P.,Pediatra | Sola Martinezc M.B.,Trabajo Social. CS Borja | Sola Anton J.,Servicio Aragones de Salud
Pediatria de Atencion Primaria | Year: 2010

Objectives: to elaborate and develop a program aimed to increase the child and his/her family's knowledge of a correct postural vertebral hygiene, to establish habits of physical exercise in the child, and to involve him/her in self-care so as to prevent back problems in the future. Material and methods: thirteen children in whom slight problems of back were detected (with or without pain) were included in a program jointly elaborated by the Pediatrics and the Physical Therapy services. This program consisted of an initial evaluation and individualized teaching of exercises. This was followed by three group meetings: in the first, an initial survey and a notebook of activities were given to the children and families enrolled; in the next two, the activities carried out were evaluated. A video of postural ygiene was shown and the acquired knowledge was jointly discussed. Three months later, a final exploration and satisfaction survey was conducted with those children who had completed the program. Results: of the 13 initial participants, 6 finished the program (46.1%). In the exploration carried out to those who had finished the program, 100% had improved their vertebral and muscular flexibility and had increased their knowledge of postural hygiene and physical activity. In all, the survey of satisfaction was favorable. Conclusions: the exploration showed an improvement in the children who completed the program. The older the child, the higher the rate of abandonment. The best age for the application of the program could be between 10-12 years.


PubMed | Servicio Aragones de Salud
Type: Journal Article | Journal: Anales del sistema sanitario de Navarra | Year: 2014

There are few Spanish studies on acute poisoning in the elderly despite the associated risk factors of this group of patients.Retrospective descriptive study of acute poisonings treated in the Emergency Service of the University Hospital of Zaragoza from 1995 to 2009 on patients 65 years old or older.A total of 762 patients were selected in the study (4.74% of all acute poisonings) with a mean age of 74.16 (SD 6) years. Ingestion was the major route of exposure (85%) and alcohol overdose (28,7%) was the most frequent type of poisoning. A trend was also observed showing a lower emetic treatment and gastric lavage and an increase in activated charcoal. Benzodiazepines (14.3%) and toxic household products (11%) with caustic properties were also the main toxics found in the study.Acute poisonings in the elderly required more hospitalizations, have a higher mortality and more autolytic attempts which result in death.


PubMed | Servicio Aragones de Salud and Hospital Clinico Universitario Lozano Blesa
Type: Journal Article | Journal: Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial | Year: 2015

To analyse the information collected in hospital discharge reports (HDR) that are given to patients with a diagnosis of heart failure (HF), and demonstrate the improvement in the content of these reports after the introduction of an intervention.HDR with HF as the main diagnosis issued by the Department of Internal Medicine were analysed, and the presence of the diagnosis, prognosis and therapeutic data in these HDR was compared in a sample before and after the intervention, which consisted of reporting the results of analysis of the initial sample to the physicians.A total of 651 HDR (371 pre-intervention and 280 post-intervention) were analysed. Most of the HDR (over 70%) did not include the functional class. Most of the HDR did not include information about echocardiogram performed before the hospitalization period analysed, and most of the HDR that collected this information did not determine if the HF was diastolic or systolic. In the post-intervention sample there was a lower percentage of HDR that prescribed angiotensin-converting enzyme inhibitors or angiotensin receptor blocker ii (26% vs 32%, P<.001). In 30% of the pre-intervention sample and 38% of the post-intervention sample there was indication of beta-blockers (P=.027).A short discussion with the physicians responsible for patients with HF improves the inclusion of important data on the diagnosis, prognosis and treatment in the HDR.


PubMed | Servicio Aragones de Salud
Type: Journal Article | Journal: The Journal of craniofacial surgery | Year: 2012

In this work, we investigated the ability of injected recombinant human bone morphogenetic protein 2 (rhBMP-2) on brushite cement (a -tricalcium phosphate-based biomaterial) and collagen gel as carriers to induce osteogenic differentiation in the palatal submucosa of 10-day-old rats. This was part of a broader study aiming to create bone in the palatal submucosa at cleft palate edges in the search for a minimally invasive treatment. Thirteen treated animals, 7 with rhBMP-2/brushite cement and 6 with rhBMP-2/collagen gel, were injected with 5 to 10 L of each biomaterial in the right palatal submucosa at the level between the second and third rugae. The contralateral site was uninjected and served as the control. Six weeks after injection, both brushite cement and collagen gel were histologically unrecognizable in all treated animals. New bone structures such as ossicles of woven bone were not detected. However, an augmentation in the thickness of the palatal fibromucosa was observed at the injection site of all palates. In addition, immunolabeling for osteopontin, proliferating cell nuclear antigen, and TUNEL revealed intense osteogenic induction at the injection site with both constructs, which was negative in the control site from the same specimens; no differences regarding cell proliferation and death were observed. The present study confirms the feasibility of generating osteogenic cells in the palatal submucosa by injecting low doses of rhBMP-2 in these 2 biomaterials, together with their inability to form bone.

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