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  1. Article ; Online: Late onset obsessive-compulsive disorder (OCD): A case report.

    Lozano-Vicario, Lucía / Fernández-Sotos, Patricia / Lozoya-Moreno, Silvia / Del Yerro-Álvarez, María J

    Actas espanolas de psiquiatria

    2020  Volume 48, Issue 1, Page(s) 36–46

    MeSH term(s) Age of Onset ; Aged ; Anti-Anxiety Agents/therapeutic use ; Antipsychotic Agents/therapeutic use ; Aripiprazole/therapeutic use ; Dementia/diagnostic imaging ; Fluvoxamine/therapeutic use ; Humans ; Male ; Obsessive-Compulsive Disorder/complications ; Obsessive-Compulsive Disorder/drug therapy ; Psychiatric Status Rating Scales ; Quetiapine Fumarate/therapeutic use ; Self-Injurious Behavior ; Tomography, Emission-Computed, Single-Photon
    Chemical Substances Anti-Anxiety Agents ; Antipsychotic Agents ; Quetiapine Fumarate (2S3PL1B6UJ) ; Aripiprazole (82VFR53I78) ; Fluvoxamine (O4L1XPO44W)
    Language English
    Publishing date 2020-01-01
    Publishing country Spain
    Document type Case Reports ; Letter
    ZDB-ID 1480971-0
    ISSN 1578-2735 ; 1575-071X ; 1139-9287
    ISSN (online) 1578-2735
    ISSN 1575-071X ; 1139-9287
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 792: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  2. Article ; Online: Escalas de valoración cognitiva y conductual en español para la demencia severa.

    Salmerón Ríos, Sergio / Lozoya Moreno, Silvia / Soler Moratalla, Isabel / Salmerón Ríos, Raúl / Ramírez Relinque, Laura / Abizanda Soler, Pedro

    Revista espanola de salud publica

    2020  Volume 94

    Abstract: Background: There are different scales in Spanish for cognitive and behavioral assessment of patients with severe dementia. The objective of this study was to select those scales that are more accessible, useful and with better psychometric properties, ... ...

    Title translation Spanish tools of cognitive and behavior assessment of alzheimer´s disease in severe state.
    Abstract Background: There are different scales in Spanish for cognitive and behavioral assessment of patients with severe dementia. The objective of this study was to select those scales that are more accessible, useful and with better psychometric properties, both for clinical practice and for research.
    Methods: Literature review, by experts in the field, of scales of cognitive and behavioral assessment in dementia in the main scientific databases. Published in Spanish or English, excluding those not validated in Spanish.
    Results: 11 bibliographical references were selected. Cognitive scales: Severe Impairment Battery was the one with the most cognitive areas, its abbreviated version (SIB-s) had the best internal consistency (α=0.96), Baylor Profound Mental Status Examination had very good psychometric properties with 0.99 reliability and excellent concurrent validity with Mini-Mental State Examination (r=-0.91). Severe Cognitive Impairment Profile was the only one that allowed establishing subgroups of cognitive impairment. Behavioral scales: Neuropsychiatric Inventory was the gold standard in dementias, but there was only one specific scale for severe Alzheimer's disease, the Baylor Profound Mental Status Examination behavioral subscale.
    Conclusions: In Spanish severe dementia, Severe Cognitive Impairment Profile and the Neuropsychiatric Inventory are the gold standard tool for cognitive assessment for research studies, and the Baylor Profound Mental Status Examination is the most useful for daily clinical practice.
    MeSH term(s) Aged ; Aged, 80 and over ; Alzheimer Disease/diagnosis ; Cognition ; Cognition Disorders/diagnosis ; Female ; Humans ; Male ; Mental Status and Dementia Tests ; Neuropsychological Tests ; Psychiatric Status Rating Scales ; Psychometrics/methods ; Reproducibility of Results ; Severity of Illness Index ; Spain
    Language Spanish
    Publishing date 2020-09-21
    Publishing country Spain
    Document type Journal Article ; Review
    ZDB-ID 1288657-9
    ISSN 2173-9110 ; 0034-8899 ; 1135-5727
    ISSN (online) 2173-9110
    ISSN 0034-8899 ; 1135-5727
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 483: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  3. Article ; Online: La anemia aumenta el riesgo de mortalidad debido a fragilidad y discapacidad en mayores: Estudio FRADEA.

    Esquinas-Requena, José Luis / Lozoya-Moreno, Silvia / García-Nogueras, Inmaculada / Atienzar-Núñez, Pilar / Sánchez-Jurado, Pedro Manuel / Abizanda, Pedro

    Atencion primaria

    2019  Volume 52, Issue 7, Page(s) 452–461

    Abstract: Objective: To analyze if anemia increases 10-year mortality risk associated to frailty and disability in older adults.: Design: Substudy of the FRADEA population-based concurrent cohort study (Frailty and dependence in Albacete), with a 10-year ... ...

    Title translation Anemia increases mortality risk associated with frailty or disability in older adults. The FRADEA Study.
    Abstract Objective: To analyze if anemia increases 10-year mortality risk associated to frailty and disability in older adults.
    Design: Substudy of the FRADEA population-based concurrent cohort study (Frailty and dependence in Albacete), with a 10-year follow-up (2007-2017) in people older than 69years.
    Setting: Albacete city, Spain.
    Participants: Of the 993 participants included in the first wave, 790 were selected with valid data on function (frailty and disability), anemia and vital status at 10years.
    Main measurements: Anemia was defined according to the criteria of the World Health Organization (hemoglobin <13g/dL in men and <12g/dL in women). A functional classification variable was created, including frailty and disability, identifying four progressive functional levels: robust, prefrail, frail and disabled in basic activities of daily life, using frailty phenotype and Barthel index respectively. A new eight categories variable was constructed combining the four functional groups with the presence or absence of anemia. The association with mortality was determined by Kaplan-Meier and Cox proportional hazards analysis adjusted for age, sex, comorbidity, polypharmacy, institutionalization and creatinine.
    Results: Mean age was 79years and 59.6% were women. 393 participants (49.7%) died during the follow-up period. The median survival was 98.4months (interquartile range 61). The risk of mortality increased from the levels with better functionality to those with worse functionality, and for each subgroup it was higher in the participants with anemia. Prefrail without anemia HR [hazard ratio] 1.59 (95%CI 1.07-2.36) and with anemia HR 2.37 (95%CI 1.38-4.05). Frail without anemia HR 3.18 (95%CI 1.68-6.02) and with anemia HR 4.42 (95%CI 1.99-9.84). Disabled without anemia HR 3.81 (95%CI 2.45-5.84) and with anemia HR 5.48 (95%CI 3.43-8.76).
    Conclusion: Anemia increases the risk of mortality associated with frailty and disability in older adults.
    MeSH term(s) Activities of Daily Living ; Aged ; Anemia/epidemiology ; Cohort Studies ; Female ; Frail Elderly ; Frailty/epidemiology ; Geriatric Assessment ; Humans ; Male
    Language Spanish
    Publishing date 2019-09-08
    Publishing country Spain
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1200787-0
    ISSN 1578-1275 ; 0212-6567
    ISSN (online) 1578-1275
    ISSN 0212-6567
    DOI 10.1016/j.aprim.2019.07.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4054: Show issues Location:
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  4. Article ; Online: Unidad domiciliaria de atención integral: Reducción de recursos hospitalarios durante brotes de gripe.

    Salmerón Ríos, Sergio / Lozoya Moreno, Silvia / Solís García Del Pozo, Julián / Salmerón Ríos, Raúl / Plaza Carmona, Laura / Abizanda Soler, Pedro

    Revista espanola de salud publica

    2018  Volume 92

    Abstract: Objective: The Comprehensive Care Home Unit of the General Hospital of Villarrobledo is a unit formed by a geriatrician who sees people in nursing homes to improve their quality of care. The activity of the Unit has been analyzed, mainly with the ... ...

    Title translation Comprehensive Care Home Unit: reduction of hospital resources during influenza outbreaks.
    Abstract Objective: The Comprehensive Care Home Unit of the General Hospital of Villarrobledo is a unit formed by a geriatrician who sees people in nursing homes to improve their quality of care. The activity of the Unit has been analyzed, mainly with the objective of avoiding referral to the emergency room, avoiding hospital admissions, avoiding hospital readmissions and reducing the number of hospital admission days.
    Methods: We retrospectively described the clinical activity of the Unit during the influenza outbreak of 2017 and 2018. We selected sociodemographical variables, functional assessment scales (Katz index, Barthel index and the Functional Ambulation Classification), and the Global Deterioration Scale. We registered mortality, type of treatment, oncological patients and patients with supplementary tests. The population was divided into four subgroups: hospital admission avoided, hospital re-admission avoided, referral to the emergency department avoided and reduction of admission days. The demographic characteristics were described, including the mode or mean of the variables. An economic report was made, and an analysis of cost per process according to the subgroups, means of Related Groups for the Diagnosis and degree of dependency measured by the Barthel index.
    Results: We selected 112 patients, they had a mean age of 82.2 years, Katz G (34.8%), IB 28.8 (DE 34.9), FAC 0 (63.4%) and GDS 7 (22.3%). The most frequent disease seen was respiratory infection (63.2%), 71.4% received active treatment, 10.7% complementary tests were performed, 17.9% oncological and 17% mortality. Cost analysis: hospital readmission avoided (€ 4,128 per patient) and patients with total disability (BI 0-20, € 3,623 per patient) presented more economic saving. The economic savings were more than € 230,000.
    Conclusions: The contribution of the Unit during periods of influenza outbreak is cost saving because of reduced numbers of admissions, numbers of readmissions, days of admission and emergency room visits.
    MeSH term(s) Aged ; Aged, 80 and over ; Disease Outbreaks/economics ; Emergency Service, Hospital ; Female ; Geriatrics/economics ; Health Resources ; Hospitalization/economics ; Humans ; Influenza, Human/economics ; Influenza, Human/therapy ; Male ; Nursing Homes ; Patient Admission ; Patient Readmission ; Retrospective Studies ; Spain
    Language Spanish
    Publishing date 2018-11-02
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 1288657-9
    ISSN 2173-9110 ; 0034-8899 ; 1135-5727
    ISSN (online) 2173-9110
    ISSN 0034-8899 ; 1135-5727
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 483: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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