Consejos populares sobre la curaci��n y prevenci��n del c��lera-morbo asi��tico /

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Joannis de Gorter Medicina dogmatica seu Opuscula medico-practica : tres morbos particulares delirium, vertiginem et tussim...

"Morbi epidemii brevis descriptio et curatio..." con portadilla propia.

Remarks on the history and treatment of delirium tremens.

Reprinted from the Transactions of the Massachusetts Medical Society.

Risk factors for development of delirium among oncology patients

To determine the occurrence of delirium in oncology inpatients and to identify and evaluate admission characteristics associated with the development of delirium during inpatient admission, a prospective observational study was conducted of H 3 patients with a total of 145 admissions with histological diagnosis of cancer admitted to the oncology unit over a period of ten weeks. At the point of inpatient admission, all patients were assessed for the presence of potential risk factors for development of delirium. During the index admission patients were assessed daily for the presence of delirium using the Confusion Assessment Method. Delirium was confirmed by clinician assessment. Delirium developed in 26 of 145 admissions (18%) and 32 episodes of delirium were recorded with 6 patients having 2 episodes of delirium during the index admission. Delirium occurred on average 3.3 days into the admission. The average duration of an episode of delirium was 2.1 day. Four patients with delirium (15%) died. All other cases of delirium were reversed. Factors significantly associated with development of delirium on multivariate analysis were: advanced age, cognitive impairment, low albumin level, bone metastases, and the presence of hematological malignancy. Hospital inpatient admission was significantly longer in delirium group (mean: 8.8 days vs 4.5 days in nondelirium group, P

Effect of medications with anti-cholinergic properties on cognitive function, delirium, physical function and mortality:a systematic review

Objectives: to determine the effect of drugs with anti-cholinergic properties on relevant health outcomes.Design: electronic published and unpublished literature/trial registries were systematically reviewed. Studies evaluating medications with anti-cholinergic activity on cognitive function, delirium, physical function or mortality were eligible.Results: forty-six studies including 60,944 participants were included. Seventy-seven percent of included studies evaluating cognitive function (n = 33) reported a significant decline in cognitive ability with increasing anti-cholinergic load (P < 0.05). Four of five included studies reported no association with delirium and increasing anti-cholinergic drug load (P > 0.05). Five of the eight included studies reported a decline in physical function in users of anti-cholinergics (P < 0.05). Three of nine studies evaluating mortality reported that the use of drugs with anti-cholinergic properties was associated with a trend towards increased mortality, but this was not statistically significant. The methodological quality of the evidence-base ranged from poor to very good.Conclusion: medicines with anti-cholinergic properties have a significant adverse effect on cognitive and physical function, but limited evidence exists for delirium or mortality outcomes. �� The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved.

The fevered novel from Balzac to Bernanos:frenetic Catholicism in crisis, delirium and revolution

Book Review: The Fevered Novel from Balzac to Bernanos: Frenetic Catholicism in Crisis, Delirium and Revolution. By Francesco Manzini. (IGRS Books). London: Institute of Germanic and Romance Studies, 2011. 264 pp. Full text: This monograph is an important and compelling account of a novelistic tradition that stretches from Georges Bernanos back to Balzac, by way of L��on Bloy, Joris-Karl Huysmans, and Barbey d'Aurevilly. Depending on a master plot that evokes Maistrean themes of blood, sacrifice, and redemption, working in a feverish female body, this canon combines Romantic freneticism and anti-Enlightenment religion to create a compound that Francesco Manzini calls ���frenetic Catholicism���. The theme of fever, Manzini tells us, was commented on by Huysmans in writing about Barbey d'Aurevilly. When Andr�� Gide read Bernanos's Sous le soleil de Satan, he dismissed it as a rehash of Bloy and Barbey. In this present work Manzini aims to make us aware once more of the gradually intensifying themacity of fever in writings more usually classed in theologo-literary categories. His analysis encompasses (though is not restricted to) Balzac's Ursule Mirou��t, Barbey d'Aurevilly's Un pr��tre mari��, Huysmans's En rade, Bloy's Le D��sesp��r�� and La Femme pauvre, and Bernanos's Nouvelle histoire de Mouchette. Thus, as Manzini argues in his conclusion, between the freneticism of the Romantics and that of the surrealists this corpus represents an intermediary wave of freneticism, foregrounding fever, hyperconsciousness, dreamlike episodes, and female automatism. Manzini's knowledge of, and ease amidst, the sources is constantly impressive. Much like Richard Griffiths before him (The Reactionary Revolution: The Catholic Revival in French Literature, 1870���1914 (London: Constable, 1966)), he has read both the bad novels and the good ones. For that we are in his debt. His commentary thrives on the oddities of his subjects. He points quite rightly to the peculiar hubris of writers whose contempt for the secular excesses of scientism leads them down a cul-de-sac of primitive medical quackery. Likewise, he underlines how Zola's attempt to unwrite Barbey ��� exorcising the former's anti-Romantic animus, as much as scratching his anticlerical itch ��� leads him to recapitulate Barbey's religious authoritarianism in the secular vernacular of patriarchy. Les esp��ces qui se rapprochent se mangent, to paraphrase Bernanos (Les Grands Cimeti��res sous la lune). In spite of all Manzini's tightly organized analysis, however, this reader wonders whether the fevered novel ���best allowed contemporaries ��� and now [���] literary critics and historians ��� to imagine the issues at stake in the amorphous scientistic, religious, and political debates��� of the period (p. 17). Below the ideological clashes of nineteenth-century science and religion, the two contending dynamics of anthropocentrism and theocentrism are attested and, it can be argued, even more perfectly dramatized in other Catholic literature (Charles P��guy's poetry, for example). In these terms, what distinguishes the Catholic frenetics from their Romantic or surrealist counterparts is that their fevered subject represents an attempt to build a road out of what Canadian philosopher Charles Taylor calls ���buffered��� individuality, and back towards the theocentric porous subject who is open to divine influence. By way of minor corrections, nuns do not take holy orders (p. 94) but make religious profession by taking vows. Also, the last Eucharistic host is not extreme unction (p. 119) but viaticum.

Evaluaci��n de los factores de riesgo y protecci��n de un programa de prevenci��n universal de las drogodependencias en el ��mbito educativo

Este estudio pretende evaluar un programa de Prevenci��n Universal de las drogodependencias en el ��mbito educativo a trav��s de los cambios que produce en los diferentes factores de riesgo y protecci��n seleccionados. La intensidad de la exposici��n al programa y la realizaci��n de talleres de refuerzo tambi��n han sido objetivo de la evaluaci��n. La valoraci��n se ha realizado en todas las etapas educativas: Educaci��n Infantil, Educaci��n Primaria y Educaci��n Secundaria, teni��ndose en cuenta el sexo y el curso. Metodolog��a: La muestra est�� compuesta por 3.454 estudiantes de la Comunidad de Madrid. 250 estudiantes de Educaci��n Infantil, 849 estudiantes de 1�� y 2�� Ciclo de Primaria, 520 estudiantes de 3�� Ciclo de Primaria y 1.835 estudiantes de ESO. Se elaboraron 4 instrumentos de medida de factores de riesgo y protecci��n: Preval_PP1 para Educaci��n Infantil y Preval_PP2 para el 1�� y 2�� Ciclo de Primaria, ambos son informes a rellenar por el profesorado. El Preval_PP3 para el 3�� Ciclo de Primaria y el Preval_PP4 para la ESO en forma de autoinforme a rellenar por el alumnado. A trav��s de las bases de datos evaluamos la cantidad de a��os que cada centro ha participado en el programa preventivo as�� como el n��mero de estudiantes que ha participado en talleres de refuerzo. Mediante un dise��o cuasi-experimental con medida pre-test y post-test se realizan ANOVAs de medidas repetidas teniendo en cuenta el sexo y el curso para evaluar los cambios en los factores de riesgo y protecci��n y comparar los centros de alta y baja exposici��n as�� como comparar al alumnado que realiza talleres de refuerzo con los que no los realizan...

Increasing delirium skills at the front door : results from a repeated survey on delirium knowledge and attitudes

�� The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Early detection of delirium in older medical inpatients: prodrome, predictors and motor subtyping

Background Delirium is highly prevalent, especially in older patients. It independently leads to adverse outcomes, but remains under-detected, particularly hypoactive forms. Although early identification and intervention is important, delirium prevention is key to improving outcomes. The delirium prodrome concept has been mooted for decades, but remains poorly characterised. Greater understanding of this prodrome would promote prompt identification of delirium-prone patients, and facilitate improved strategies for delirium prevention and management. Methods Medical inpatients of ���70 years were screened for prevalent delirium using the Revised Delirium Rating Scale (DRS--���R98). Those without prevalent delirium were assessed daily for delirium development, prodromal features and motor subtype. Survival analysis models identified which prodromal features predicted the emergence of incident delirium in the cohort in the first week of admission. The Delirium Motor Subtype Scale-4 was used to ascertain motor subtype. Results Of 555 patients approached, 191 patients were included in the prospective study. The median age was 80 (IQR 10) and 101 (52.9%) were male. Sixty-one patients developed incident delirium within a week of admission. Several prodromal features predicted delirium emergence in the cohort. Firstly, using a novel Prodromal Checklist based on the existing literature, and controlling for confounders, seven predictive behavioural features were identified in the prodromal period (for example, increasing confusion; and being easily distractible). Additionally, using serial cognitive tests and the DRS-R98 daily, multiple cognitive and other core delirium features were detected in the prodrome (for example inattention; and sleep-wake cycle disturbance). Examining longitudinal motor subtypes in delirium cases, subtypes were found to be predominantly stable over time, the most prevalent being hypoactive subtype (62.3%). Discussion This thesis explored multiple aspects of delirium in older medical inpatients, with particular focus on the characterisation of the delirium prodrome. These findings should help to inform future delirium educational programmes, and detection and prevention strategies.

Promoci��n de salud y prevenci��n de adicciones en adolescentes mediante la actividad f��sica y el arte : Proyecto Faro

El Proyecto Faro se lleva a cabo a mediante la C��tedra de Teor��a de la pr��ctica art��stica de la Facultad de Bellas Artes y la C��tedra Seminario de actividad f��sica para la salud de la facultad de Humanidades y Ciencias de la Educaci��n de la UNLP. Mediante este proyecto se desarrollaron gu��as de promoci��n de salud y prevenci��n de adicciones destinadas a adolescentes para ser utilizadas a nivel escolar y extraescolar. Objetivo: Potenciar la salud con especial ��nfasis en la prevenci��n de adicciones a trav��s del arte y la actividad f��sica en j��venes adolescentes, disminuyendo el riesgo de adquirir h��bitos no saludables. Metodolog��a: Intervenci��n por medio de talleres con car��cter de encuentros sistem��ticos en grupos de j��venes en diferentes ��mbitos, utilizando las gu��as mencionadas. Discusi��n: Las intervenciones multidisciplinarias que incluyen a la Educaci��n F��sica y el arte, han demostrado tener gran aceptaci��n por parte de alumnos, docentes y padres, y potencialmente son una estrategia v��lida para promover salud en estos grupos poblacionales

Promoci��n de salud y prevenci��n de adicciones en adolescentes mediante la actividad f��sica y el arte : Proyecto Faro

El Proyecto Faro se lleva a cabo a mediante la C��tedra de Teor��a de la pr��ctica art��stica de la Facultad de Bellas Artes y la C��tedra Seminario de actividad f��sica para la salud de la facultad de Humanidades y Ciencias de la Educaci��n de la UNLP. Mediante este proyecto se desarrollaron gu��as de promoci��n de salud y prevenci��n de adicciones destinadas a adolescentes para ser utilizadas a nivel escolar y extraescolar. Objetivo: Potenciar la salud con especial ��nfasis en la prevenci��n de adicciones a trav��s del arte y la actividad f��sica en j��venes adolescentes, disminuyendo el riesgo de adquirir h��bitos no saludables. Metodolog��a: Intervenci��n por medio de talleres con car��cter de encuentros sistem��ticos en grupos de j��venes en diferentes ��mbitos, utilizando las gu��as mencionadas. Discusi��n: Las intervenciones multidisciplinarias que incluyen a la Educaci��n F��sica y el arte, han demostrado tener gran aceptaci��n por parte de alumnos, docentes y padres, y potencialmente son una estrategia v��lida para promover salud en estos grupos poblacionales