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J Marta Moreno

Publications and source records attributed to J Marta Moreno.

10 recordsLinked to original sources
PubMed2003

[Introduction to clinical management].

The clinical management is a type of health care service management that probably will develop in the next future. It is a powerful tool that can offer a better health assistance (in its technical, economic and patient's satisfaction components). The health manpower formation in the basic theory of clinical management is necessary today. But it is also important to establish a correct information health system previously to start any clinical management pathway. These information systems are now developed to the quantification of hospital activity, and not to clinical department level (micro-management). It is also necessary to collect indicators of clinical departments. These indicators would be relevant and we could compare them between different hospitals. The development of standarized process activity, and relevant process indicator is probably a responsibility of scientific societies in the future. Now in our country, the development and introduction of clinical management is not the same between different geographical regions, hospital and clinical departments. We think that it is necessary to use more this tool in daily clinical practice, because it is a very good opportunity to improve the quality of our health assistance.

Hospital Departments↗
PubMed1992

[Rare manifestations of diabetic neuropathy].

Up to 50% of diabetic patients develop neuropathies during their lives. Distal symmetric polyneuropathy is the most frequent variety, but there are other forms that are not exceptional and must be considered for the differential diagnosis of these patients. In this paper, the authors present three clinical cases of rare types of diabetic neuropathy: oculomotor cranial neuropathy (Case 1), diabetic amyotrophia (Case 2) and mixoide type with proximal asymmetrical locomotor neuropathy and distal polyneuropathy (Case 3). Their most relevant clinical characteristics are described, along with their differential diagnosis, evolution and therapeutical alternatives, in order to contribute to a better management of these patients.

Aged↗
PubMed1991

[Cerebrovascular accident: study of risk factors and development in 154 cases].

A retrospective study of 194 patients is carried out. Patients were divided into two groups: 154 patients with acute cerebrovascular accident (ACA) and 40 patients without vascular pathology, hospitalized for other causes. A descriptive analysis of these patients is made with respect to age, sex, type of ACA, previous ACA and potential relationship between the type of this first ACA and the one motivating current hospitalization. In addition, ACA is related to risk factors (hypertension, dyslipemia, diabetes, cardiopathy). In our series, variables that can be considered as risk factors, with significant differences between both groups, are: HTA, tobacco consumption, cardiopathy, dyslipemia (hypercholesterolemia and hypertriglycemia, hyperuricemia and diabetes. Alcoholism, anticoagulation, antiaggregation or polyglobulia were not risk factors. In 33.2% of patients with current ACAs, there were antecedent of clinically documented cerebrovascular pathology; one thing of them were transitory cerebral ischemias and more than half of them, cerebral infarcts. In conclusion, we stressed the role of primary and secondary prevention acting against risk factors, given the recurrence of this pathology and the irreversibility of the injuries once happened.

Adult↗
PubMedDate not supplied

[Giant aneurysms of the basilar artery. Six cases].

The authors describe 6 cases of giant aneurysm of the basilar artery diagnosed in the Neurology Department of the Hospital Clínico Universitario of Zaragoza over the last 8 years by cerebral CT, arteriography and NMR with the clinical, diagnostic, and evolutive features of the same being reported. In 2 cases the clinical manifestations initiated as subarachnoid hemorrhage, in another two as AIT, in the fifth case as cerebral infarction and in the sixth case with pseudotumoral clinical manifestations with a necropsy study being available in the latter case. Three of the 6 patients died and of the remaining three only one was, successfully operated on. Anatomopathologic, clinical, therapeutic and diagnostic aspects of giant aneurysms of the basilar trunk are also reviewed with NMR being recommended as the technique of choice in diagnosis.

Adult↗
PubMedDate not supplied

[Magnetic resonance in Hallevorden-Spatz disease].

The Hallevorden-Spatz disease should be suspected in children or young people with motor, pyramidal or extrapyramidal symptomatology and deterioration of superior functions specially upon the existence of family history. Pathognomonic diagnosis may only be obtained by necropsy but magnetic resonance images, although not pathognomic, are sufficiently characteristics to strongly support the diagnosis. Four cases of Hallevorden-Spatz disease are presented with special emphasis on the MR images characteristic of this disease.

Adolescent↗