Revista clínica española
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Revista clínica española · Feb 2010
Letter Comparative Study[Early mortality in the intensive care unit].
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Revista clínica española · Nov 2009
Review[Parapneumonic pleural effusions and empyema in adults:current practice].
About 20% of hospitalized patients with bacterial pneumonia have an accompanying pleural effusion. Parapneumonic effusions (PPE) are associated with a considerable morbidity and mortality. The main decision in managing a patient with a PPE is whether to insert a chest tube (complicated PPE). ⋯ The routine use of intrapleural fibrinolytic therapy remains controversial. (c) 2009 Elsevier España, S. L. All rights reserved.
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Revista clínica española · Jul 2009
Comparative Study[Effectiveness of PRECEDE model for health education in metabolic control and reduction of cardiovascular risk factors in patients with diabetes type 2].
To evaluate the effectiveness of PRECEDE model for health education, in the metabolic control and the reduction of cardiovascular risk factors, in type 2 diabetic patients followed for over two years in primary health care services. ⋯ PRECEDE model for health education is a useful method in the management of type 2 diabetes, that reduce the levels of blood pressure both systolic and diastolic, decrease the lipid levels, and improve the level of therapeutic adherence in type 2 diabetic patients, followed for two years.
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Revista clínica española · Jul 2009
Comparative Study[Diagnostic approach to cancer of unknown primary site].
Cancer of unknown primary site (CUPS) is a heterogeneous entity defined by the presence of a histologically-proven metastatic neoplasm, in which the original tumor cannot be identified after a targeted study. The current guidelines for CUPS focus is not based on the search for the primary neoplasm but rather on the identification of patients who may benefit from a treatment that will prolong their survival, based on the clinical and histological characteristics of each case. By improving the diagnostic study, we avoid using fruitless tests in patients with limited therapeutic possibilities and poor short-term prognosis.