Revista clínica española
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Revista clínica española · Mar 2007
[Intermediate Care Units dependent on Internal Medicine in a hospital without an Intensive Care Unit].
Intermediate care units are considered a solution for care of patients who require superior care than those in a normal hospitalization ward but are not amenable to intensive therapy. We present our experience with an open model, with a responsible person of the ward appointed to the Internal Medicine Department, that could be assumed in other hospitals without Intensive Care Unit in which these units would also avoid unnecessary transfers or make it possible to optimize them so that these are done under better conditions.
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Revista clínica española · Feb 2007
Comparative Study[Current role of statins in the stroke prevention].
The role of lipids in stroke has been a traditionally debated subject. Many studies have recently demonstrated that reduction of cholesterol levels is associated to a lower stroke incidence. At present, statins play an essential role in both primary as well as secondary stroke prevention. More knowledge on the use of statins in stroke in order to be able to apply it in the daily clinical practice is needed.
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Revista clínica española · Dec 2006
[New, relevant and practical aspects of the treatment of neuropathic pain].
In the Spanish population it is difficult to calculate the prevalence of neuropathic pain (NP) although it is estimated that it is present in 40% of the cases of chronic pain. The treatment is not easy and we must choose between the different drugs, the most appropriate taking into account the effectivity in data from clinical trials, releaf of comorbidities associated to NP and less side effects. ⋯ In this work, the author recommends antiepileptic drugs, like gabapentin and pregabalin as first choice treatments. Amitriptiline, a tricycle antidepressant and opioids must be used only when there is a lack of response or intolerance.