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Biomedical subjects

J Martí

Publications and source records attributed to J Martí.

89 records · Page 5Linked to original sources
PubMedDate not supplied

[Management of surgical waiting lists by health centers and health professionals].

Waiting lists for non-urgent medical care, in diagnostic or therapeutic procedures, occur mainly in public health systems such as those found in Spain and many other European countries. If waiting lists are moderate they can be useful in the process of managing these patients and are accepted by health professionals and health services users. Waiting lists for surgical procedures can be interpreted, erroneously, as a simple imbalance between the supply and demand for a particular procedure. If that were the case, we would only have to progressively increase resources until eliminating the lists.However, considerable evidence suggests that the isolated increase of resources does not solve the problem since the mean waiting time is reduced but the waiting list becomes longer. Therefore, other management measures are required. The management of waiting lists is necessary at the levels of society, health administration and especially health centers. Clinical management by departments and individual health professionals is essential, using the criteria of inclusion of scientific evidence in the indication for treatment and in the results expected for each patient (effectiveness of the procedure) as well as ethical criteria and considerations of resource use efficiency. Prioritizing patients according to severity, probability of improvement and social criteria is an unavoidable obligation in improving the problem of waiting lists. In this process of prioritization, society should also be able to voice an opinion since non-medical factors may influence the distribution and prioritization of resources and in this context the experience of other countries should be analyzed. Finally, as Archie Cochrane said "all effective treatment should be free" which, put another way would be: in a public system, the financing of procedures that do not provide significant benefits to patients is not justified.

Health Facilities↗
PubMedDate not supplied

[High flow priapism. Case report].

OBJECTIVE: We report the case of a patient consulting with a four-year history of priapism, its diagnosis and subsequent therapeutic management. METHODS: We reviewed the literature for etiology, types of presentation, discussion of the clinical and radiological findings, and differential diagnosis. RESULTS: The patient underwent the embolization of the internal pudendal artery with excellent results. CONCLUSIONS: The embolization of the internal pudendal artery is an effective treatment for the resolution of high flow priapism secondary to arterial venous fistula.

Blood Flow Velocity↗
PubMedDate not supplied

[Chronic iron-deficiency anemia due to colonic angiodysplasia in an adult].

The case of a 42-years-old man is presented, who was admitted for recurrent iron-deficiency [correction of ferropenic] anemia. The endoscopic and radiographic studies did not disclose the origin of the anemia. Arteriographic study detected lesions compatible with angiodysplasia. Surgery was performed and the diagnosis confirmed in the resection specimen.

Adult↗
PubMedDate not supplied

[Purulent meningitis. Presentation of 47 cases].

We report 47 patients with purulent meningitis who were seen at our institution during the last 3 years. In 42.5% of patients an upper respiratory infection previous to the onset of the clinical features of meningitis was demonstrated. We had positive bacteriological results in 47% of cases. In the remaining patients the culture was negative. 56% of these had received previous antibiotic therapy. Only 4 patients died, all of them with initial septic shock. The therapy of choice was i.v. ampicillin, at a dose of 1-3 g/4 hours.

Adolescent↗