Enfermeria

Imprime Imprenta Vistalegre Teléfono 957 421 616 CÓRDOBA Depósito Legal CO-598/99 3 Agradecimientos; Quisiera dar las gracias a todos los que componen el Servicio de Medicina Nuclear del Hospital "Reina Sofía" por su apoyo. Especialmente a nuestro Jefe de Servicio Dr. D. José M.ª Latre por sus comentarios y su oportuno prologo. Así como a los Dres. D. F. M. González, D. J. A. Vallejo y D. M. Torres por su colaboración desinteresada, contribuyendo a solventar los muchos escollos que han ido surgiendo durante la elaboración del presente manual. También a la Unidad de Docencia, Calidad e Investigación de Enfermería de nuestro Hospital, por el interés mostrado en la publicación de este manual, pues sin su colaboración no habría podido tener la divulgación deseada. Y por supuesto a mi mujer y a mis hijos, por haberme permitido ocupar las horas que le pertenecían en la elaboración de este trabajo.

Introduction: At the end of the 20th century, the biggest triage systems were developed. The Manchester Triage System was born in 1994 in the city of Manchester (UK), based on triage standards. Manchester Triage System uses flowcharts (reasons for consultation that are presented in the emergency services) for classification. Emergency Severity Index is a triage system developed in the United States in 1998. The measure of severity is based on vital signs and potential threats to life, extremities or organs, while the consumption of resources must be calculated with help of the previous experience of the professional. Objectives: To compare the common and different theoretical characteristics of Manchester Triage System and Emergency Severity Index. Methodology: Bibliographic review for which 40 articles were obtained from the main databases (CUIDEN, COCHRANE, MEDLINE, PMC...) with a maximum of 6 years old. Results: A high percentage of the articles indicates that the MTS has a good efficacy in the classification of patients according to their severity. ESI has a good capacity to predict the possibility of hospitalization, mortality and consumption of resources, but not the time spent in the emergency department or hospital. Conclusion: Both systems have received modifications until reaching a good performance. Since the triage does not require a diagnosis, but a rapid classification based on the patient's level of clinical priority, it is considered a specific Nursing function.

Introduction: At the end of the 20th century, the biggest triage systems were developed. The Manchester Triage System was born in 1994 in the city of Manchester (UK), based on triage standards. Manchester Triage System uses flowcharts (reasons for consultation that are presented in the emergency services) for classification. Emergency Severity Index is a triage system developed in the United States in 1998. The measure of severity is based on vital signs and potential threats to life, extremities or organs, while the consumption of resources must be calculated with help of the previous experience of the professional. Objectives: To compare the common and different theoretical characteristics of Manchester Triage System and Emergency Severity Index. Methodology: Bibliographic review for which 40 articles were obtained from the main databases (CUIDEN, COCHRANE, MEDLINE, PMC...) with a maximum of 6 years old. Results: A high percentage of the articles indicates that the MTS has a good efficacy in the classification of patients according to their severity. ESI has a good capacity to predict the possibility of hospitalization, mortality and consumption of resources, but not the time spent in the emergency department or hospital. Conclusion: Both systems have received modifications until reaching a good performance. Since the triage does not require a diagnosis, but a rapid classification based on the patient's level of clinical priority, it is considered a specific Nursing function.

Background and Objective: Type 2 diabetes is one of the main causes of peripheral vascular disease. The beneficial effects of exercise on glucose homeostasis include a marked stimulation of blood glucose utilization during and after its performance. The objective of this study was to determine the effects of a program of 3 physical therapy modalities on blood circulation in patients with type 2 diabetes with peripheral arterial disease. Subjects and Method: A randomized controlled trial was undertaken. Sixty-eight patients with type 2 diabetes with Leriche-Fontaine stage I or IIa peripheral arterial disease were randomly assigned to an exercise or placebo group. For 20 weeks, the exercise group underwent treatment comprising 3 exercises at proximal, medium, and distal segments of the lower limbs, and the placebo group received sham treatment with disconnected ultrasound equipment. Peripheral arterial disease was determined by evaluating the ankle/brachial index (ABI), Doppler flow velocity, blood parameters, cardiovascular risk score, and heart rate during exercise test. Results: After 20 weeks of treatment, significant differences between groups were found in the following: right (P G .039) and left (P G .023) ABI; Doppler flow velocity (cm/s) in the right (P G .010) and left (P G .026) posterior tibial artery and in the right (P G .012) and left (P G .022) dorsalis pedis artery; and fibrinogen (P G .045), hemoglobin (P G .021), cholesterol (P G .012), high-density lipoprotein cholesterol (P G .031), and HbA1c (P G .034) values. There was no significant difference in low-density lipoprotein cholesterol values (P G .110) between the groups. Conclusion: A program of these physical therapy modalities improves ABI, Doppler flow velocity, and blood parameters in patients with type 2 diabetes.