Endocrinologia Y Nutricion最新文献

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Care and economic impact of thyroid ultrasound examination at single visits to endocrinology clinics (the ETIEN 1 study) 内分泌诊所单次甲状腺超声检查的护理和经济影响（ETIEN 1研究）

Endocrinologia Y Nutricion

Pub Date : 2016-02-01 DOI: 10.1016/j.endoen.2016.02.006

Florentino Carral, María del Carmen Ayala, Ana Isabel Jiménez, Concepción García

Objective

Routine thyroid ultrasound examination in a single medical appointment is rarely performed in Spain. The objective of this study was to evaluate the care and economic impact of thyroid US examination in a single endocrine appointment.

Methods

A prospective, observational, descriptive study was conducted to analyze data from 2274 patients (mean age, 59 ± 16 years; 83% females) performed at least one thyroid US in a single visit to an endocrinology clinic during 2013 and 2014. The number of endocrine acts with thyroid US, single endocrine and US acts without review, and the change in the number of thyroid US requested by endocrinologists to the radiology department and total thyroid US examinations performed at the radiology department during the study period were assessed.

Results

In 2013 and 2014, 2558 endocrine acts with thyroid US were performed, of which 42.2% were single endocrine and US appointments without a second endocrine act, with estimated savings of €58,946.40. As compared to 2012, the number of thyroid US requested by endocrinologists to the radiology department decreased by 43.3% and 86.0% in 2013 and 2014 respectively, and total thyroid US performed by the radiology department decreased by 28.1% and 68.3% respectively, with estimated savings of €94,441.36.

Conclusions

Thyroid US examination in a single endocrine appointment allows for decreasing the number of both second endocrine acts and thyroid US examinations performed at the radiology department, thus reducing the number of unnecessary clinic visits and promoting considerable economic savings.

在西班牙，很少在一次医疗预约中进行常规甲状腺超声检查。本研究的目的是评估甲状腺超声检查在单一内分泌预约中的护理和经济影响。方法进行一项前瞻性、观察性、描述性研究，分析2013年至2014年间2274名患者（平均年龄59±16岁；83%的女性）在内分泌诊所的一次就诊中至少进行了一次甲状腺超声检查的数据。评估了研究期间有甲状腺超声的内分泌行为、单一内分泌行为和未经审查的超声行为的数量，以及内分泌学家向放射科要求的甲状腺超声数量的变化和在放射科进行的甲状腺超声检查。结果2013年和2014年，共进行了2558次甲状腺超声内分泌检查，其中42.2%为单次内分泌检查和无第二次内分泌检查的超声检查，估计节省58946.40欧元。与2012年相比，2013年和2014年内分泌科医生向放射科申请的甲状腺超声数量分别下降了43.3%和86.0%，放射科进行的甲状腺超声总量分别下降了28.1%和68.3%，估计节省94441.36欧元。结论在一次内分泌预约中进行甲状腺超声检查可以减少在放射科进行的第二次内分泌行为和甲状腺超声检查的次数，从而减少不必要的门诊就诊次数，并促进可观的经济节约。

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引用次数: 2

Transient electrocardiographic abnormalities during hypoglycemia 低血糖期间的短暂心电图异常

Endocrinologia Y Nutricion

Pub Date : 2016-02-01 DOI: 10.1016/j.endoen.2016.02.004

Manuel José Fernández Anguita, Virgilio Martínez Mateo, Laura Cejudo del Campo Díaz, Miguel Ángel Villanueva Terrazas, Antonio Jesús Paule Sánchez

引用次数: 0

Relationship between dietary calcium intake and adiposity in female adolescents 女性青少年膳食钙摄入量与肥胖的关系

Endocrinologia Y Nutricion

Pub Date : 2016-02-01 DOI: 10.1016/j.endoen.2016.02.007

José Castro Burbano, Pamela Fajardo Vanegas, Julieta Robles Rodríguez, Karina Pazmiño Estévez

Background and objective

The prevalence and magnitude of obesity in children and adolescents increase rapidly. Besides genetic and environmental factors, calcium intake has recently been identified as a dietary factor that is inversely related with body mass index and development of overweight and obesity.

The purpose of this study was to assess the correlation between dietary calcium intake and body mass index and fat distribution in female adolescents.

Materials and methods

This was a cross-sectional study where anthropometric variables (weight, height, body mass index, waist and hip circumference) were collected in 244 female adolescents to establish total body adiposity and fat distribution. A 24-h recall and a food frequency questionnaire were used to assess total calorie, calcium, and dairy products intake.

Results

Calcium intake was inversely related to body mass index (p < .05), waist circumference (p < .05), hip circumference (p > .05), and waist to hip ratio (p < .05).Overweight (8.3%) and obese (0.7%) adolescents had a lower mean calcium intake than adolescents of normal weight (p = .06).

Conclusions

Dietary calcium intake and, to a lesser extent, consumption of dairy products are inversely related to total and abdominal adiposity, and also to the prevalence of overweight in this group of adolescents.

背景与目的儿童和青少年肥胖的患病率和程度迅速上升。除了遗传和环境因素外，钙的摄入最近被确定为一个与体重指数和超重和肥胖发展呈负相关的饮食因素。本研究的目的是评估女性青少年的膳食钙摄入量与体重指数和脂肪分布之间的相关性。材料和方法这是一项横断面研究，收集了244名女性青少年的人体测量变量（体重、身高、体重指数、腰围和臀围），以确定全身肥胖和脂肪分布。使用24小时回忆和食物频率问卷来评估总热量、钙和乳制品的摄入量。结果钙摄入量与体重指数（p＜0.05）、腰围（p＜.05）、臀围（p＞0.05）和腰臀比（p＜005）呈负相关。超重（8.3%）和肥胖（0.7%）青少年的平均钙摄入量低于正常体重的青少年（p＝.06），乳制品的消费与整体和腹部肥胖呈负相关，也与这一群体青少年超重的患病率呈负相关。

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引用次数: 13

Hasday: Treatment of obesity in 10th century Hasday：10世纪肥胖症的治疗

Endocrinologia Y Nutricion

Pub Date : 2016-02-01 DOI: 10.1016/j.endoen.2016.02.002

Pedro Gargantilla Madera , Noelia Arroyo Pardo

引用次数: 1

Hypercarotinemia after bariatric surgery 减肥手术后的高脂血症

Endocrinologia Y Nutricion

Pub Date : 2016-01-01 DOI: 10.1016/j.endoen.2016.01.004

Sonsoles Gutiérrez-Medina, Paloma Iglesias Bolaños, Amalia Paniagua Ruíz, María Blanca Martínez-Barbeíto, Laura Bartolomé Hernández

引用次数: 0

Donohue syndrome. Extreme insulin resistance in the neonatal period 多诺霍综合征。新生儿期的极度胰岛素抵抗

Endocrinologia Y Nutricion

Pub Date : 2016-01-01 DOI: 10.1016/j.endoen.2015.10.010

Rosa María Sánchez-Hernández , María Martín-Frías , Luis Castaño , Adelaida Lamas , Raquel Barrio

引用次数: 0

Intrathyroidal parathyroid carcinoma. A case report and review of the literature 甲状腺内甲状旁腺癌。病例报告及文献复习

Endocrinologia Y Nutricion

Pub Date : 2016-01-01 DOI: 10.1016/j.endoen.2016.01.003

Ana Alicia Tejera Hernández, María Isabel Gutiérrez Giner, Víctor Vega Benítez, David Fernández San Millan, Juan Ramón Hernández Hernández

引用次数: 4

Professionals’ perception of circuits of care for hypertensive or diabetic patients between primary and secondary care 专业人员对初级和二级护理之间高血压或糖尿病患者护理回路的看法

Endocrinologia Y Nutricion

Pub Date : 2016-01-01 DOI: 10.1016/j.endoen.2015.09.003

Francisco Javier Alonso-Moreno , Nieves Martell-Claros , Mariano de la Figuera , Javier Escalada , Marta Rodríguez , Luisa Orera

Objective

To determine the flow of care for patients with type 2 diabetes mellitus (T2DM) and hypertension between primary care (PC) and specialized care (SC) in clinical practice, and the criteria used for referral and follow-up within the Spanish National Health System (NHS).

Design

A descriptive, cross-sectional, multicenter study.

Placement

A probability convenience sampling stratified by number of physicians participating in each Spanish autonomous community was performed. Nine hundred and ninety-nine physicians were surveyed, of whom 78.1% (n = 780) were primary care physicians (PCPs), while 11.9% (n = 119) and 10.0% (n = 100) respectively were specialists in hypertension and diabetes.

Key measurements

Were conducted using two self administered online surveys.

Results

A majority of PCPs (63.7% and 55.5%) and specialists (79.8% and 45.0%) reported the lack of a protocol to coordinate the primary and specialized settings for both hypertension and T2DM respectively. The most widely used method for communication between specialists was the referral sheet (94.6% in PC and 92.4% in SC).

The main reasons for referral to a specialist were refractory hypertension (80.9%) and suspected secondary hypertension (75.6%) in hypertensive patients, and suspicion of a specific diabetes (71.9%) and pregnancy (71.7%) in T2DM patients.

Conclusions

Although results showed some common characteristics between PCPs and specialists in disease management procedures, the main finding was a poor coordination between PC and SC.

目的确定临床实践中2型糖尿病（T2DM）和高血压患者在初级护理（PC）和专科护理（SC）之间的护理流程，以及西班牙国家卫生系统（NHS）内用于转诊和随访的标准。设计一项描述性、横断面、多中心研究。地点根据参与每个西班牙自治社区的医生人数进行概率便利抽样。调查了九百九十九名医生，其中78.1%（n=780）是初级保健医生，11.9%（n=119）和10.0%（n=100）分别是高血压和糖尿病专家。使用两项自行管理的在线调查进行了关键测量。结果大多数PCP（63.7%和55.5%）和专家（79.8%和45.0%）分别报告缺乏协调高血压和T2DM的主要和专业设置的方案。专家之间最广泛使用的沟通方法是转诊单（PC为94.6%，SC为92.4%）。转诊至专家的主要原因是高血压患者的难治性高血压（80.9%）和疑似继发性高血压（75.6%），以及T2DM患者的疑似特定糖尿病（71.9%）和妊娠（71.7%）。结论尽管研究结果显示，PCP和疾病管理程序专家之间存在一些共同特征，但主要发现PC和SC之间的协调性较差。

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引用次数: 0

Is vitamin D deficiency being considered in the differential diagnosis of osteoporosis in routine practice? 在日常实践中，维生素D缺乏是否被考虑用于骨质疏松症的鉴别诊断？

Endocrinologia Y Nutricion

Pub Date : 2016-01-01 DOI: 10.1016/j.endoen.2015.09.004

Georgios Kyriakos , Alfonso Vidal-Casariego , María Nélida Fernández-Martínez , Isidoro Cano-Rodríguez

引用次数: 0

Statin-centered treatment of dyslipidemia. New evidence-based paradigm, or only part of the evidence? 他汀类药物治疗血脂异常。新的循证范式，还是只是部分证据？

Endocrinologia Y Nutricion

Pub Date : 2016-01-01 DOI: 10.1016/j.endoen.2015.08.010

Antonio Pérez

引用次数: 0

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