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  1. Article ; Online: Elección de Medicina Familiar y Comunitaria en el MIR 2002-2023: un enfoque objetivo muestra que es una especialidad tan valorada como las hospitalarias.

    Torres Moreno, M P / Blanco Herrera, R / Vegas Fernández, L / Alfaro Martínez, J J

    Semergen

    2024  Volume 50, Issue 5, Page(s) 102198

    Abstract: Introduction: Currently there is a shortage of general practitioners (GP), and this is expected to increase in the coming years. Despite this need, it is a specialty that is supposedly little demanded, leaving specialized training places unfilled in ... ...

    Title translation Choice of Family and Community Medicine in the MIR 2002-2023: An objective approach shows that it is as highly valued as hospital specialties.
    Abstract Introduction: Currently there is a shortage of general practitioners (GP), and this is expected to increase in the coming years. Despite this need, it is a specialty that is supposedly little demanded, leaving specialized training places unfilled in recent years. The purpose of this study is to present new parameters to more objectively measure the demand and the relationship between supply and demand.
    Methods: A database was used with the results of the places assigned in the MIR calls from 2002 to 2023. The calculated parameters were quoting index (CI), quote order, the order of top demand and the order of total demand of the GP specialty. The software R version 4.3.02 was used for statistical analysis.
    Results: The specialty quotation and top demand have remained constant during the study period, while there has been a slight and progressive worsening of the total demand. Nevertheless, the total demand for Family Medicine in the last call for MIR exam was higher than that for specialties such as urology, neurology, ENT, endocrinology, oncology, intensive care medicine or neurosurgery, among others.
    Conclusions: In contrast to the subjective perception of the worsening attractiveness Family Medicine in the last MIR calls, using objective parameters, we found that the attractiveness of the specialty, measured as quotation (supply/demand ratio) and demand, has remained stable (with a slight worsening of total demand).
    Language Spanish
    Publishing date 2024-03-19
    Publishing country Spain
    Document type English Abstract ; Journal Article
    ISSN 1578-8865
    ISSN (online) 1578-8865
    DOI 10.1016/j.semerg.2024.102198
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  2. Article ; Online: Estudio de la incidencia de COVID-19 en España y su relación geográfica provincial.

    Alfaro-Martínez, J J / Solís García Del Pozo, J / Quílez Toboso, R P / García Blasco, L / Rosa Felipe, C

    Journal of healthcare quality research

    2023  Volume 38, Issue 5, Page(s) 299–303

    Abstract: Background: The aim of this study was to determine incidence of COVID-19 in relationship to geographical distribution among Spain.: Method: Cluster analysis taking into consideration the incidence of COVID-19 in the provinces and autonomous cities of ...

    Title translation Study of incidence of COVID-19 in Spain and its relationship to geographical province distribution.
    Abstract Background: The aim of this study was to determine incidence of COVID-19 in relationship to geographical distribution among Spain.
    Method: Cluster analysis taking into consideration the incidence of COVID-19 in the provinces and autonomous cities of Spain in each of the first six waves of the pandemic.
    Results: All the provinces of the Canary Islands, Catalonia and Andalusia form independent clusters. In Comunidad Valenciana, Galicia, País Vasco and Aragón two out of three provinces (three out of four in Galicia) were in the same cluster, with no other provinces.
    Discussion: The incidence of COVID-19 in Spain in the first six waves forms clusters that reproduce the territorial division of Spain into autonomous communities. Although this could be explained by greater mobility within a community, it cannot be ruled out that this distribution is due to differences in screening, diagnosis, registration or reporting of COVID-19 cases.
    MeSH term(s) Humans ; Spain/epidemiology ; COVID-19/epidemiology ; Incidence
    Language Spanish
    Publishing date 2023-02-14
    Publishing country Spain
    Document type English Abstract ; Journal Article
    ISSN 2603-6479
    ISSN (online) 2603-6479
    DOI 10.1016/j.jhqr.2023.02.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Are there differences between ceftolozane/tazobactam and ceftazidime/avibactam in treating patients with complicated abdominal infections? Evidence from clinical trials.

    Avilés Martínez, M C / Alfaro Martínez, J J / Blanch Sancho, J J / Solís García Del Pozo, J

    Journal of chemotherapy (Florence, Italy)

    2022  Volume 34, Issue 7, Page(s) 419–426

    Abstract: Ceftolozane/tazobactam (C/T) and ceftazidime/avibactam (CZA) are new possibilities of antimicrobial treatment that combined a β-lactam with a β-lactamase inhibitor. The United States (US) and European regulatory agencies approved their clinical use in ... ...

    Abstract Ceftolozane/tazobactam (C/T) and ceftazidime/avibactam (CZA) are new possibilities of antimicrobial treatment that combined a β-lactam with a β-lactamase inhibitor. The United States (US) and European regulatory agencies approved their clinical use in adults with complicated intra-abdominal infections. This study aims to know if one of the two antibiotics obtain better efficacy in adults with complicated intra-abdominal infections and by specific pathogens such as
    MeSH term(s) Adult ; Humans ; Ceftazidime/therapeutic use ; Ceftazidime/pharmacology ; beta-Lactamase Inhibitors/therapeutic use ; Meropenem/pharmacology ; Escherichia coli ; Azabicyclo Compounds/therapeutic use ; Azabicyclo Compounds/pharmacology ; Cephalosporins/therapeutic use ; Cephalosporins/pharmacology ; Tazobactam/therapeutic use ; Tazobactam/pharmacology ; Intraabdominal Infections/drug therapy ; Drug Combinations ; Anti-Bacterial Agents/therapeutic use ; Anti-Bacterial Agents/pharmacology ; Pseudomonas aeruginosa ; Microbial Sensitivity Tests ; Pseudomonas Infections/drug therapy
    Chemical Substances avibactam, ceftazidime drug combination ; Ceftazidime (9M416Z9QNR) ; avibactam (7352665165) ; ceftolozane (37A4IES95Q) ; beta-Lactamase Inhibitors ; Meropenem (FV9J3JU8B1) ; Azabicyclo Compounds ; Cephalosporins ; ceftolozane, tazobactam drug combination ; Tazobactam (SE10G96M8W) ; Drug Combinations ; Anti-Bacterial Agents
    Language English
    Publishing date 2022-05-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 1036294-0
    ISSN 1973-9478 ; 1120-009X
    ISSN (online) 1973-9478
    ISSN 1120-009X
    DOI 10.1080/1120009X.2022.2073160
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    Zs.A 2701: Show issues Location:
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    Zs.MO 387: Show issues

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  4. Article: Repercusiones nutricionales y manejo de la pancreatitis crónica.

    Botella Romero, F / Alfaro Martínez, J J

    Nutricion hospitalaria

    2008  Volume 23 Suppl 2, Page(s) 59–63

    Abstract: The pancreas is a retroperitoneal organ that releases water, bicarbonate and digestive enzymes by the main pancreatic duct (MPD) into the duodenum. Chronic pancreatitis (CP) is typically caused, in adults, by chronic alcohol abuse and, less frequently ... ...

    Title translation Nutritional repercussions and management of chronic pancreatitis.
    Abstract The pancreas is a retroperitoneal organ that releases water, bicarbonate and digestive enzymes by the main pancreatic duct (MPD) into the duodenum. Chronic pancreatitis (CP) is typically caused, in adults, by chronic alcohol abuse and, less frequently hypertriglyceridemia, primary hyperparathyroidism or cystic fibrosis. Exocrine dysfunction results in malabsorption of fat and subsequent steatorrhea. Damage to pancreatic endocrine function is a late finding in CP and results in hyperglycaemia or overt diabetes mellitus. Care of patients with CP principally involves management of pain. A significant change in the pain pattern or the sudden onset of persistent symptoms suggests the need to rule out other potential etiologies, including peptic ulcer disease, biliary obstruction, pseudocysts, pancreatic carcinoma, and pancreatic duct stricture or stones, then is important to establish a secure diagnosis. Management of pain should then proceed in a judicious stepwise approach avoiding opioids dependence. Patients should be advised to stop alcohol intake. Fat malabsorption and other complications may also arise. Management of steatorrhea should begin with small meals and restriction in fat intake. Pancreatic enzyme supplements can relieve symptoms and reduce malabsorption in patients who do not respond to dietary restriction. Enzymes at high doses should be used with meals. Treatment with acid suppression to reduce inactivation of the enzymes from gastric acid are recommended. Supplementation with medium chain triglycerides and fat soluble vitamin replacement may be required. Management of other complications (such as pseudocysts, bile duct or duodenal obstruction, pancreatic ascites, splenic vein thrombosis and pseudoaneurysms) often requires aggressive approach with the patient kept on total parenteral nutrition to minimize pancreatic stimulation.
    MeSH term(s) Adult ; Aged ; Analgesics/therapeutic use ; Clinical Trials as Topic ; Female ; Gastrointestinal Agents/therapeutic use ; Humans ; Malabsorption Syndromes/etiology ; Malabsorption Syndromes/therapy ; Male ; Middle Aged ; Octreotide/therapeutic use ; Pain/diagnosis ; Pain/drug therapy ; Pain/etiology ; Pancreatitis, Alcoholic/therapy ; Pancreatitis, Chronic/complications ; Pancreatitis, Chronic/diagnosis ; Pancreatitis, Chronic/etiology ; Pancreatitis, Chronic/physiopathology ; Pancreatitis, Chronic/therapy ; Parenteral Nutrition, Total
    Chemical Substances Analgesics ; Gastrointestinal Agents ; Octreotide (RWM8CCW8GP)
    Language Spanish
    Publishing date 2008-05
    Publishing country Spain
    Document type Comparative Study ; English Abstract ; Journal Article
    ZDB-ID 1481223-x
    ISSN 0212-1611
    ISSN 0212-1611
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  5. Article ; Online: Albumin levels and its association with outcomes in a Serie of Covid-19 patients in Spain

    Garcia Blasco, L.M. / Alfaro Martínez, J.J. / Quílez Toboso, R. / Sánchez Sáez, P. / Rodríguez Marín, Y. / García Aragonés, L. / Pérez Díez, P. / Arias Martínez, J.G.

    Clinical Nutrition ESPEN

    2020  Volume 40, Page(s) 621

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ISSN 2405-4577
    DOI 10.1016/j.clnesp.2020.09.646
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Nutrición enteral en el paciente neurológico: ¿es suficiente el contenido en vitamina D en las fórmulas de uso habitual?

    Botella Romero, F / Alfaro Martínez, J J / Luna López, V / Galicia Martín, I

    Nutricion hospitalaria

    2012  Volume 27, Issue 2, Page(s) 341–348

    Abstract: Introduction: Vitamin D deficiency produces inadequate bone mineralization, proximal muscle weakness, abnormal gait and increased risk of falls and fractures. Moreover, in epidemiological studies, has been associated with increased risk of cancer, ... ...

    Title translation Enteral nutrition in neurological patients: is there enough vitamin D content in commonly used formulas?.
    Abstract Introduction: Vitamin D deficiency produces inadequate bone mineralization, proximal muscle weakness, abnormal gait and increased risk of falls and fractures. Moreover, in epidemiological studies, has been associated with increased risk of cancer, autoimmune diseases, type 1 and 2 diabetes, rheumatoid arthritis, multiple sclerosis, infectious diseases, cardiovascular diseases and depression. When synthesis through the skin by sun exposure is not possible and the patient can not eat by mouth, as in the advanced stages of various neurological diseases, the supply of vitamin D has to be done by enteral nutrition.
    Objectives: The aim of this study is to review the role of vitamin D in a common group of neurological conditions that often require artificial nutrition and analyze whether the vitamin D of different enteral nutrition formulas is adequate to meet the needs of this group of patients.
    Results: Numerous studies have shown the association between vitamin D deficiency and increased incidence of dementia, stroke and other neurodegenerative diseases. Interventions aimed to increase levels of vit. D and its effects on functional (falls, pain, quality of life) and cardiovascular goals (cardiovascular death, stroke, myocardial infarction, cardiovascular risk factors) have obtained as highlight data a clear reduction of falls and fractures, while the evidence for the other parameters studied is still limited and inconsistent. The content of calcium and vitamin D of enteral formulas is legislated in our country. The total amount of vitamin D for a daily intake of 1,500-2,000 kcal ranges between 300 and 1,600 IU/d (mean ± SD: 32.9 ± 8.5 mg/100 kcal) in the complete formulas for enteral nutrition most commonly used. 50% of the diets studied, for an intake of 2,000 kcal/d, and 90% for an intake of 1,500 kcal/d, provide less than 600 IU/d of vitamin D.
    Discussion: Some revised recently guidelines published recommendations of daily intake of vitamin D. The document published by the U.S. Institute of Medicine recommended for adults between 19 and 70 years, 600 IU/d and up from 70, proposes 800 IU/d of vitamin D. These amounts are deemed insufficient by other scientific societies to state that to achieve blood levels of 25 (OH) D equal or greater than 30 ng/ml may be required a daily intake of 1,500-2,000 IU and a number two or three times higher if previous deficiency exists.
    Conclusions: Further controlled studies are needed to ascertain which is the appropriate dose of vitamin D in advanced stages of neurological disease, where sun exposure is difficult and unlikely. We suggest that the vitamin D content should probably be reconsidered in enteral nutrition formulas, which, in light of recent publications appear as clearly insufficient for standard energy intakes (1,500-2,000 kcal).
    MeSH term(s) Aged ; Alzheimer Disease/therapy ; Amyotrophic Lateral Sclerosis/therapy ; Enteral Nutrition ; Epilepsy/therapy ; Humans ; Multiple Sclerosis/therapy ; Nervous System Diseases/therapy ; Nutrition Policy ; Parenteral Nutrition Solutions/chemistry ; Parkinson Disease/therapy ; Spinocerebellar Degenerations/therapy ; Vitamin D/administration & dosage ; Vitamin D/therapeutic use ; Vitamins/administration & dosage ; Vitamins/therapeutic use
    Chemical Substances Parenteral Nutrition Solutions ; Vitamins ; Vitamin D (1406-16-2)
    Language Spanish
    Publishing date 2012-03
    Publishing country Spain
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 1481223-x
    ISSN 1699-5198 ; 0212-1611
    ISSN (online) 1699-5198
    ISSN 0212-1611
    DOI 10.1590/S0212-16112012000200003
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  7. Article: Severe hypocalcemia secondary to hypomagnesaemia, successfully treated by self-administered subcutaneous magnesium.

    Alfaro Martínez, J J / Botella Romero, F / Lamas Oliveira, C / Hernández López, A

    Nutricion hospitalaria

    2009  Volume 24, Issue 3, Page(s) 354–356

    Abstract: We report the case of a patient with recurrent severe hypocalcemia, secondary to hypomagnesaemia, and prerenal renal failure, due to ileostomy losses after a colectomy, who needed several admissions to the hospital through more than one year. Finally, he ...

    Abstract We report the case of a patient with recurrent severe hypocalcemia, secondary to hypomagnesaemia, and prerenal renal failure, due to ileostomy losses after a colectomy, who needed several admissions to the hospital through more than one year. Finally, he was successfully treated by self-administered subcutaneous magnesium: he reached and maintained normal levels of serum calcium, magnesium and PTH, no more hospital admission were needed and he resumed a normal life.
    MeSH term(s) Aged ; Humans ; Hypocalcemia/etiology ; Injections, Subcutaneous ; Magnesium/administration & dosage ; Magnesium/blood ; Male ; Metabolic Diseases/blood ; Metabolic Diseases/complications ; Metabolic Diseases/drug therapy ; Remission Induction ; Self Administration ; Severity of Illness Index
    Chemical Substances Magnesium (I38ZP9992A)
    Language English
    Publishing date 2009-05
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 1481223-x
    ISSN 0212-1611
    ISSN 0212-1611
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