Abstract:
:We have studied ambulatory hypertensive patients by means of a survey protocol, in order to observe the possible causes of inadequate control. In 8% of patients, hygienic and dietetic measures were applied, specially low-salt diet and weight loss. This percentage is very low compared to that reported by other authors. A 67% of our patients received monotherapy, being diuretics the most frequently used drug. A 71% of patients fulfilled (correctly) the prescribed drug treatment, independently of its complexity and the arterial hypertension evolution time. The degree of good treatment fulfillment, in relation to the scarce fulfillment of hygienic and dietetic measures, make us believe that in our environment patients trust drugs effects more than that of the diet. We believe that this is due, in part, to the fact that health professionals do not insist sufficiently in its fulfillment. Patient follow-up was satisfactory in only 46% of them, which conditioned the fact that hypertension control was efficient in only 39% of total. We suggest the importance of treatment and control programs in primary assistance given the better results claimed by other authors who worked with patients following protocols. Only thus the Internal Medicine Departments could be relieved from problems derived from these patients.
journal_name
Rev Clin Espjournal_title
Revista clinica espanolaauthors
Torre Cisneros J,Fernández de la Puebla R,López-Miranda J,Nicolás Puiggari M,López-Segura F,Pérez-Jiménez Fsubject
Has Abstractpub_date
1990-07-01 00:00:00pages
103-6issue
3eissn
0014-2565issn
1578-1860journal_volume
187pub_type
杂志文章abstract::Pancreas transplantation offers the possibility of preventing the development and progression of diabetic lesions by adequate control of hydrocarbon metabolism. Moreover, the diabetic patient is freed from dietary and physical restrictions, as well as from insulin treatment. However, this is achieved at the expense of...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1989-07-01 00:00:00
abstract::255 patients diagnosed of pulmonary and/or pleural tuberculosis are prospectively studied. All patients received four drugs: isoniazine (INH), rifampin, pirazinamide and ethambutol during the first two months of treatment. Afterwards they continued for four months with two drugs in order to complete the six month trea...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-02-01 00:00:00
abstract::We present 53 cases of gastrointestinal smooth tumors (43 leiomyomas and 10 leiomyosarcomas) which have being diagnosed in Virgen del Camino Hospital during a period of 17 years. The aim of the research is to know the incidence of such tumors, their clinical presentation, the usefulness of radiologic and endoscopic st...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1995-12-01 00:00:00
abstract:OBJECTIVES:To evaluate the independent usefulness of pleural fluid smear and cell block (CB) preparations for the diagnosis of malignant effusions. PATIENTS AND METHODS:A total of 632 cytological smears and 554 CBs from 414 consecutive patients with malignant effusions were retrospectively evaluated. RESULTS:The diag...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2016.11.004
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:The immune response to Mycobacterium tuberculosis is primarily mediated by T lymphocytes. In this study an investigation was made of T lymphocytes and their subsets, B lymphocytes and natural cytotoxic cells (Natural Killer, NK) in blood and organic fluids in different tuberculosis conditions. METHODS:Patie...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract::Diagnosis of alcoholism is very important, given its high prevalence and possibility of influencing the disease course. For this reason, the so-called biological markers of alcoholism are useful. These are analytic parameters that alter in the presence of excessive alcohol consumption. The two most relevant markers ar...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13079074
更新日期:2005-09-01 00:00:00
abstract:INTRODUCTION:Anti-phospholipid antibodies (APA) may involve heart and valvular heart disease seems to be the most common clinical manifestation. OBJECTIVES:To study the prevalence and characteristics of valvular heart disease in a large patient population with anti-phospholipid syndrome (APS) and also to analyze the c...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(02)71136-3
更新日期:2002-10-01 00:00:00
abstract::Psychology shows that what is free is poorly valued. Free of cost national health systems may become blocked due to misuse and may even become unfeasible. Copayment already exist in Spain. It was introduced in pharmaceutical prescriptions as a solidarity measure. This copayment has generated abuses. Its introduction h...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2012.05.011
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:To describe the evolution of smoking habits in the general population of Barcelona from 1983 to 1992 and motivation of smokers and the perceived social pressure to leave smoking in 1992. DESIGN:Cross-sectional descriptive study of trends. PLACE AND PARTICIPANTS: From 1983 to 1992 two health surveys were con...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1996-06-01 00:00:00
abstract::Our objective has been to elaborate an updated Clinical Guide of the Spanish Society of Internal Medicine (SEMI) for the prevention and treatment of glucocorticoids-induced osteoporosis (GIO), identifying and measuring the grade of evidence that supports the given recommendations. For this, we reviewed studies perform...
journal_title:Revista clinica espanola
pub_type: 杂志文章,实务指引
doi:10.1157/13115006
更新日期:2008-01-01 00:00:00
abstract::Clinical findings and response to treatment in four cases with plasma cell leukemia (PCL) out of 152 patients of multiple myeloma diagnosed at the Hospital La Paz from 1969 to 1988 are studied. Three of the four plasma cell leukemia cases presented a primary form, and one a secondary form. Our cases had a lower incide...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract::With the aim to analyze the prognostic value of anti-RNP/Sm and anti-Ro/La antibodies (Ab) in lupus nephropathy, we have studied through Contraimmunoelectrophoresis (CIE) and Immunoblotting (IB) the serum of 63 patients diagnosed of systemic lupus erythematosus. Mean age was 36.5 years (15-71) and 90% were females. We...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract::Acute renal insufficiency associated to cocaine consumption is well known, and normally secondary to rhabdomyolisis. The possibility that renal failure is related to hypertension and to renal histopathological findings indistinguishable of other malignant hypertension conditions is a not as well known fact. Certain de...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13060272
更新日期:2004-04-01 00:00:00
abstract:UNLABELLED:The increase in the mean populational age has increased the number of elderly people eligible for cardiac surgery. The aortic pathology represents the most common valvular pathology, mainly of degenerative etiology. The efficiency of the aortic valve replacement in people aged over 75 years was studied, with...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract:OBJECTIVE:To describe the incidence and characteristics of the infection caused by Mycobacterium tuberculosis in patients with autoimmune diseases. PATIENTS AND METHODS:Searching in the database of the department at our institution, all new cases of tuberculosis from 1991 to 2000 were identified in patients with autoi...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13045537
更新日期:2003-04-01 00:00:00
abstract:UNLABELLED:Wolfram's syndrome (SW): diabetes mellitus (DM), diabetes insipidus (DI), blindness and deafness, is multiorganic, hereditary and uncommon. Mitochondrial dysfunction damages the oxidative pathway. OBJECTIVE:To analyze the clinical characteristics, diagnostic delay in constituent diseases and early diagnosti...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13090481
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Oral anticoagulant therapy is complex due to the need for control and the hemorrhagic risk the therapy entails. This study aims to determine the standard clinical practice in the treatment for preventing stroke in patients with nonvalvular atrial fibrillation (NVAF) in Spain. PATIENTS AND MET...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2014.08.008
更新日期:2015-03-01 00:00:00
abstract::We report the clinical, radiological and microbiological features of ten patients diagnosed of pyogenic sacroiliitis in an Internal Medicine Department during a 13 years period. Clinical signs and radiological or scintigraphical findings were present in every case. Staphylococcus aureus was isolated in blood cultures ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract::In order to know the epidemiological, clinical and evolutive characteristics of bacteriemia caused by beta-hemolytic streptococci groups A and B, a retrospective investigation was undertaken of 48 bacteremic episodes observed in adult patients for 10 years (1985-1994). Twenty-two episodes were caused by Group A beta-h...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1995-08-01 00:00:00
abstract::In order to assess the bacteriology of bronchial secretion samples, 40 patients in the intensive care unit who had developed fever and pulmonary infiltrates during mechanical ventilation have been studied. In each patient bronchial secretion samples were obtained by a double lumen distally-plugged telescopic catheter ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1989-02-01 00:00:00
abstract::Laughter is associated to many physiological and psychological benefits. Although women laugh more than men do, the daily frequency of laughter does not seem to differ. Laughter in all its forms and manifestations is an indicator of family vitality and healthy couples. Laughter is very attractive at the interpersonal ...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:10.1016/j.rce.2010.10.013
更新日期:2011-07-01 00:00:00
abstract::HepatitisC virus infection is a significant public health problem. The introduction of direct-acting antiviral agents, whose efficacy is greater than 90% in all patient groups (including those with cirrhosis), has represented a highly relevant change compared with classical interferon-based therapies. Tolerance for th...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2017.07.006
更新日期:2018-01-01 00:00:00
abstract::Patients admitted in an ICU after OH-CRA before and after the implementation of a MMICU were evaluated. During a period of 11 years, divided into a pre-MMICU period (1988-1993) and a post-MMICU period (1994-1998), 39 patients were admitted in the pre period and 64 patients in the post period. The basal characteristics...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13052582
更新日期:2003-11-01 00:00:00
abstract:INTRODUCTION:This study has aimed to describe cardiovascular risk factors (CVRF) associated to stroke and their detection and monitoring during the acute episode and the recommendations on hospital discharge. The hypothesis was to check if the integral care of the internist improved the care to these patients. MATERIA...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13124313
更新日期:2008-07-01 00:00:00
abstract::We have studied in the present report 86 sera from healthy individuals from Granada province with the aim of determining the serum antibody threshold level which would correlate in our media with the absence of tuberculous disease. These antibodies were detected by an ELISA method (Anda Tb) which looks for the presenc...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract::The use of ambulatory monitorization of blood pressure has shown the importance of the alarm reaction or white coat reaction and its conditioning factors in some patients. The influence of place (medical facility or home) and person who performs the procedure (doctor or nurse) on the taking of blood pressure is studie...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract:INTRODUCTION:The role of glucose elevation above levels considered normal in non- diabetic patients with acute coronary syndromes (ACS) is not adequately defined. The aim of this study was to determine the association between serum glucose at admission and 1-year mortality in this type of patients. METHODS:We studied ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13088586
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVE:Several studies have reported that a higher degree of hemoconcentration in patients admitted for the treatment of acute heart failure (HF) constitutes a favorable prognostic factor in the year following the index episode. The objective of this study was to evaluate whether the highest degree of hemoconcentrat...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2018.07.003
更新日期:2019-01-01 00:00:00
abstract::The watermelon stomach is a vascular malformation at the gastric antrum which is responsible for chronic bleeding. We report here nine patients (5 females and 4 males) referred to our Department from December 1990 to May 1995 with ferropenic anemia resulting from chronic gastrointestinal bleeding and with the diagnosi...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
abstract:UNLABELLED:An inappropriate hospital use, defined as hospital utilization that could have been occurred at a lower attending level or in less time, increases costs, creates inefficient management and influences on attending quality. The objective of this work was to evaluate the appropriateness and inappropriateness of...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:2000-12-01 00:00:00