1
|
Lebon W, Guillot J, Álvarez MJ, Antonio Bazaga J, Cortes-Dubly ML, Dumont P, Eberhardt M, Gómez H, Pennant O, Siméon N, Beugnet F, Halos L. Prevention of canine ocular thelaziosis (Thelazia callipaeda) with a combination of milbemycin oxime and afoxolaner (Nexgard Spectra ®) in endemic areas in France and Spain. ACTA ACUST UNITED AC 2019; 26:1. [PMID: 30644355 PMCID: PMC6333103 DOI: 10.1051/parasite/2019001] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Accepted: 01/03/2019] [Indexed: 02/04/2023]
Abstract
In the past decade, canine thelaziosis due to Thelazia callipaeda has been diagnosed in an increasing number of European countries, with endemic areas being identified. A multi-center field trial was conducted in endemic areas in France and Spain to evaluate the efficacy of monthly administrations of the oral milbemycin oxime/afoxolaner combination (NexGard Spectra®) for the prevention of T. callipaeda infection in at-risk dogs. A total of 79 dogs negative for T. callipaeda and with a clinical history of eyeworm infection in the past two years completed the study. Dogs were randomly allocated either to a negative control group (42 dogs) or to the NexGard Spectra® treated group (37 dogs). All dogs were followed up for a 6-month period and assessed monthly for the presence of nematodes on the eyes and for the signs of ocular thelaziosis (e.g., conjunctivitis, keratitis, and ocular discharge). When the presence of nematodes was confirmed, the conjunctival fornix was flushed with a saline solution for parasite recovery and counting, and the dogs were treated appropriately. Recovered parasites were stored in 70% alcohol for subsequent morphological identification. During the course of the study, 57.1% (24/42) of the control dogs were diagnosed positive for Thelazia infection, which illustrates a high incidence rate of parasite infection. Conversely, no eyeworm was recovered from any of the 37 dogs that received NexGard Spectra®. All parasites sampled were confirmed to be T. callipaeda. This clinical field study demonstrated that monthly administrations of NexGard Spectra® provided 100% preventive efficacy against canine thelaziosis.
Collapse
Affiliation(s)
- Wilfried Lebon
- Boehringer Ingelheim Animal Health, CRSV, 805 Allée des Cyprès, 01150 Saint-Vulbas, France
| | - Jacques Guillot
- Unité de Parasitologie, Mycologie, Dermatologie, Ecole Nationale Vétérinaire d'Alfort, 94704 Maisons-Alfort, France
| | - Maria-Jesús Álvarez
- Hospital Canis de Monforte Carretera Circunvalación, S/N 27400 Monforte, (Lugo, Galicia), Spain
| | - José Antonio Bazaga
- Clínica Veterinaria Bazaga, Ronda Sur, 50, 10300 Navalmoral de la Mata, Cáceres (Extremadura), Spain
| | | | - Pascal Dumont
- Boehringer Ingelheim Animal Health, CRSV, 805 Allée des Cyprès, 01150 Saint-Vulbas, France
| | - Marianne Eberhardt
- Clinique Vétérinaire de Gabarret, Avenue de Marcadieu, 40310 Gabarret, France
| | - Héctor Gómez
- Hospital Veterinario Abros Parque empresarial Pereiro de Aguiar, Polígono 2 A - Parcela 32A, 32710 Pereiro de Aguiar, (Orense, Galicia), Spain
| | - Olivier Pennant
- Clinique Vétérinaire Fénelon, 5 boulevard Fénelon, 24380 Vergt, France
| | - Noémie Siméon
- Clinique Vétérinaire Sanilhac, Avenue du 19 mars 1962, 24660 Notre-Dame de Sanilhac, France
| | - Frederic Beugnet
- Boehringer Ingelheim Animal Health, 29 avenue Tony Garnier, 69007 Lyon, France
| | - Lénaïg Halos
- Boehringer Ingelheim Animal Health, 29 avenue Tony Garnier, 69007 Lyon, France
| |
Collapse
|
2
|
Miranda MA, Salvatierra S, Rodríguez I, Álvarez MJ, Rodríguez V. Characterization of the flow of patients in a hospital from complex networks. Health Care Manag Sci 2019; 23:66-79. [PMID: 30607802 DOI: 10.1007/s10729-018-9466-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Accepted: 12/16/2018] [Indexed: 10/27/2022]
Abstract
We study the efficiency of operations management in a hospital from the dynamics of the flow of patients. Our principal aim is to characterize strategic departments and seasonal patterns in a hospital from a complex networks approach. Process mining techniques are developed to track out-patients' pathways along different departments for the purpose of building weekly networks. In these networks, departments act as nodes with multiple out/in-going arrows connecting other departments. Strategic departments are classified into target and critical departments. On the one hand, target departments, which in this study belong to the oncology area, correspond to those affected by new management policies whose impact is to be assessed. On the other hand, critical departments correspond to the most active departments, the hubs of the networks. Using suitable networks parameters, strategic departments are shown to be highly efficient regardless of the season, which naturally translates into a high level of service offered to patients. In addition, our results show conformance with the new objectives concerning target departments. The methodology presented is shown to be successful in evaluating the efficiency of hospital services in order to enhance process performances, and moreover, it is suitable to be implemented in healthcare management systems at a greater scale and the service industry whenever the flow of clients or customers are involved.
Collapse
Affiliation(s)
- M A Miranda
- Department of Business Administration, School of Economics and Business Administration, University of Navarra, Pamplona, Spain.
| | - S Salvatierra
- Department of Business Administration, School of Economics and Business Administration, University of Navarra, Pamplona, Spain
| | - I Rodríguez
- Department of Business Administration, School of Economics and Business Administration, University of Navarra, Pamplona, Spain
| | - M J Álvarez
- Department of Industrial Organization, School of Engineering (TECNUN), University of Navarra, San Sebastian, Spain
| | - V Rodríguez
- Department of Business Administration, School of Economics and Business Administration, University of Navarra, Pamplona, Spain
| |
Collapse
|
3
|
Navarta-Sánchez MV, Ursua ME, Riverol Fernández M, Ambrosio L, Medina M, Díaz de Cerio S, Álvarez MJ, Senosiain JM, Gorraiz A, Caparrós N, Anaut S, Martín-Lanas R, Recio M, Portillo MC. Implementation of a multidisciplinary psychoeducational intervention for Parkinson's disease patients and carers in the community: study protocol. BMC Fam Pract 2018; 19:45. [PMID: 29621985 PMCID: PMC5887225 DOI: 10.1186/s12875-018-0730-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/11/2017] [Accepted: 03/19/2018] [Indexed: 11/21/2022]
Abstract
Background Parkinson’s disease progressively limits patients at different levels and as a result family members play a key role in their care. However, studies show lack of an integrative approach in Primary Care to respond to the difficulties and psychosocial changes experienced by them. The aim of this study is to evaluate the effects of a multidisciplinary psychoeducational intervention focusing on improving coping skills, the psychosocial adjustment to Parkinson’s disease and the quality of life in patients and family carers in a Primary Care setting. Methods This quasi-experimental study with control group and mixed methods was designed to evaluate a multidisciplinary psychoeducational intervention. Based on the study power calculations, 100 people with Parkinson’s disease and 100 family carers will be recruited and assigned to two groups. The intervention group will receive the ReNACE psychoeducational intervention. The control group will be given a general educational programme. The study will be carried out in six community-based health centres. The results obtained from the two groups will be collected for evaluation at three time points: at baseline, immediately after the intervention and at 6 months post-intervention. The results will be measured with these instruments: the Quality of Life Scale PDQ-39 for patients and the Scale of Quality of Life of Care-givers SQLC for family carers, and for all participants the Psychosocial Adjustment to Illness scale and the Brief COPE Inventory. Focus groups will be organised with some patients and family carers who will have received the ReNACE psychoeducational intervention and also with the healthcare professionals involved in its development. Discussion An important gap exists in the knowledge and application of interventions with a psychosocial approach for people with PD and family carers as a whole. This study will promote this comprehensive approach in Primary Care, which will clearly contribute in the existing knowledge and could reduce the burden of PD for patients and family carers, and also in other long-term conditions. Trial registration NCT03129425 (ClinicalTrials.gov). Retrospectively registered on April 26, 2017.
Collapse
Affiliation(s)
- M V Navarta-Sánchez
- Faculty of Nursing, University of Navarre, C/ Irunlarrea, s/n, Edif. De los Castaños, 31008, Pamplona, Navarre, Spain
| | - M E Ursua
- Primary Health Care Center of San Juan, Navarre Service of Health-Osasunbidea, Plaza Obispo Irurita s/n Planta Baja, 31011, Pamplona, Navarre, Spain
| | - M Riverol Fernández
- Department of Neurology, Clínica Universidad de Navarra, Avenida Pio XII, 36, 31008, Pamplona, Navarre, Spain
| | - L Ambrosio
- Faculty of Nursing, University of Navarre, C/ Irunlarrea, s/n, Edif. De los Castaños, 31008, Pamplona, Navarre, Spain
| | - M Medina
- Primary Health Care Center of San Juan, Navarre Service of Health-Osasunbidea, Plaza Obispo Irurita s/n Planta Baja, 31011, Pamplona, Navarre, Spain
| | - S Díaz de Cerio
- Navarre Association of Parkinson's patients, C/ Aralar 17, 31004, Pamplona, Navarre, Spain
| | - M J Álvarez
- Public University of Navarre, Campus de Arrosadia, s/n, 31006, Pamplona, Navarre, Spain
| | - J M Senosiain
- Faculty of Nursing, University of Navarre, C/ Irunlarrea, s/n, Edif. De los Castaños, 31008, Pamplona, Navarre, Spain
| | - A Gorraiz
- Navarre Association of Parkinson's patients, C/ Aralar 17, 31004, Pamplona, Navarre, Spain
| | - N Caparrós
- Faculty of Law and Social Sciences, University of La Rioja, C/ Cigüeña 60, 26004, Logroño, La Rioja, Spain
| | - S Anaut
- Department of Social Work, Public University of Navarre, Campus de Arrosadia, s/n, 31006, Pamplona, Navarre, Spain
| | - R Martín-Lanas
- Department of Psychiatry and Medical Psychology, Clínica Universidad de Navarra, Avenida Pio XII, 36, 31008, Pamplona, Navarre, Spain
| | - M Recio
- Department of Neurology, Clínica Universidad de Navarra, Avenida Pio XII, 36, 31008, Pamplona, Navarre, Spain
| | - M C Portillo
- NIHR CLAHRC Wessex, Faculty of Health Sciences, University of Southampton Highfield Campus, University Road, Southampton, SO17 1BJ, UK.
| |
Collapse
|
4
|
Triguero J, García A, Molina A, San Miguel C, Notario P, Villegas T, Becerra A, Expósito M, Muffak K, Álvarez MJ, Fundora Y. Complications Associated With Liver Transplantation in Recipients With Body Mass Index >35 kg/m(2): Would It Be a Poor Prognosis Predictive Factor? Transplant Proc 2016; 47:2650-2. [PMID: 26680062 DOI: 10.1016/j.transproceed.2015.10.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Revised: 10/04/2015] [Accepted: 10/07/2015] [Indexed: 12/21/2022]
Abstract
BACKGROUND Obesity is a global epidemic that continues to increase in a great number of countries, and it has become a major public health problem in Spain. Unfortunately, the impact of obesity on survival in liver transplantation (LT) recipients is underestimated and controversial. The aim of this study was to determine if obesity is a risk factor for morbidity and mortality after LT. METHODS In a retrospective cohort study of the records of 180 consecutive patients who had undergone to LT from 2007 to 2013, 11 obese patients with body mass index (BMI) >35 kg/m(2) were identified. Their data have been compared with recipients with BMI 20-25 kg/m(2). RESULTS There were no differences in demographic data, Child-Pugh score, Model for End-Stage Liver Disease score, or cause of liver failure. BMI >35 kg/m(2) recipients had a significantly higher rate of portal vein thrombosis before LT, compared with the BMI 20-25 kg/m(2) group (36.5% vs 13.9%; P = .041). There were also no differences in development of post-reperfusion syndrome. The groups were also comparable concerning morbidity rate after LT, stay in the intensive care unit, and global hospital stay. However, the mortality rate was significantly higher in the obese group compared with the nonobese group (72.7% vs 38.9%; P = .032). CONCLUSIONS The results of the study clearly demonstrate higher mortality rates in obese patients undergoing LT; thus, it is fair to consider obesity as a poor prognosis predictive factor concerning mortality rate.
Collapse
Affiliation(s)
- J Triguero
- General, Digestive Surgery, and Liver Transplantation Department, Virgen de las Nieves University Hospital (University Hospital Centre of Granada), Granada, Spain.
| | - A García
- Biostatistical and Epidemiological Support Department, Virgen de las Nieves University Hospital (University Hospital Centre of Granada), Granada, Spain
| | - A Molina
- General, Digestive Surgery, and Liver Transplantation Department, Virgen de las Nieves University Hospital (University Hospital Centre of Granada), Granada, Spain
| | - C San Miguel
- General, Digestive Surgery, and Liver Transplantation Department, Virgen de las Nieves University Hospital (University Hospital Centre of Granada), Granada, Spain
| | - P Notario
- General, Digestive Surgery, and Liver Transplantation Department, Virgen de las Nieves University Hospital (University Hospital Centre of Granada), Granada, Spain
| | - T Villegas
- General, Digestive Surgery, and Liver Transplantation Department, Virgen de las Nieves University Hospital (University Hospital Centre of Granada), Granada, Spain
| | - A Becerra
- General, Digestive Surgery, and Liver Transplantation Department, Virgen de las Nieves University Hospital (University Hospital Centre of Granada), Granada, Spain
| | - M Expósito
- Biostatistical and Epidemiological Support Department, Virgen de las Nieves University Hospital (University Hospital Centre of Granada), Granada, Spain
| | - K Muffak
- General, Digestive Surgery, and Liver Transplantation Department, Virgen de las Nieves University Hospital (University Hospital Centre of Granada), Granada, Spain
| | - M J Álvarez
- General, Digestive Surgery, and Liver Transplantation Department, Virgen de las Nieves University Hospital (University Hospital Centre of Granada), Granada, Spain
| | - Y Fundora
- General, Digestive Surgery, and Liver Transplantation Department, Virgen de las Nieves University Hospital (University Hospital Centre of Granada), Granada, Spain
| |
Collapse
|
5
|
Abstract
BACKGROUND As future health educators, nursing and physiotherapy students will play an essential role in the prevention of smoking. AIM To determine the prevalence of smoking among students and to analyse their knowledge of and attitudes towards smoking. METHOD This was a descriptive cross-sectional study using an anonymous questionnaire and conducted in a Spanish Faculty of Health Sciences in 2013. FINDINGS 247 nursing and physiotherapy students (82.33%) participated in the study. The global prevalence of smoking (18.2%) was lower compare with the general population group of the same age. We have observed statistical significance in relation to previous studies. Nursing and physiotherapy students showed a low nicotine dependence. We found a lack of knowledge about the harmful effects of cigarette consumption on health. Statistically significant results were also found in relation to degree courses (p < 0.01) as regards students' opinions about their knowledge of strategies and methods to help patients stop smoking. CONCLUSION Most students started smoking before commencing their university studies; consequently, interventions should focus on cessation programmes. An analysis of university curricula leading to the award of a degree in the health sciences could serve to identify educational deficiencies in order to implement the necessary modifications. IMPLICATIONS FOR NURSING AND HEALTH POLICY This paper presents an update in tobacco use characteristics amongst nursing and physiotherapy students. Those results have showed a need to improve the curricula in order to develop specific programmes to improve knowledge, attitudes and beliefs. Measures to prevent smoking must be taken at school.
Collapse
Affiliation(s)
- D Fernández
- Department of Nursing and Physiotherapy, Faculty of Health Sciences, University of León, León, Spain
| | - B Ordás
- Division of Nursing, University Hospital of León, León, Spain
| | - M J Álvarez
- Department of Nursing and Physiotherapy, Faculty of Health Sciences, University of León, León, Spain
| | - C Ordóñez
- Department of Toxicology, University of León, León, Spain
| |
Collapse
|