[Synthetic indicator of compliance with standards for Quality Units of health centers and multicenter prospective pilot study].

Background And Objective: In Spain, Quality Units play a key and unique role in advising healthcare centers on the methodology of healthcare quality. The objectives of the study were to develop computer algorithms to obtain a synthetic indicator of standard compliance for Quality Units and to pilot its functioning in these units.

Materials And Methods: The Excel program was used to establish evaluation algorithms, and quantitatively interrelate and weight various categories of standards, as a computer evaluation tool, to build a continuous improvement cycle system, and offer a global synthetic indicator of compliance.

[The use of antithrombotic drugs in patients with chronic atrial fibrillation in a local health area].

Background: The objective of the study is to assess the degree of ambulatory use of prophylactic antithrombotic therapy in patients with chronic atrial fibrillation (CAF) in a county health area.

Patients And Methods: A cross-sectional, prospective survey carried out in patients admitted at a community-hospital, detected 44 patients with CAF.

Results: The inappropriateness of anti-thrombotic therapy (48%) was associated with no having a previous echocardiography (p < 0.

[Colonic obstruction in Whipple's disease].

A patient with Whipple's disease presented with low intestinal obstruction and hemorrhage due to mesenteric retraction which was attributed to intra-abdominal enlarged lymph nodes. Ultrastructural findings included abundant intracellular bacilli. This complication of Whipple's disease has not been previously described and should be listed in the differential diagnosis of colonic obstruction.

[Endocarditis due to Candida albicans with peripheral arterial embolism and a cerebral mycotic aneurysm in an IV drug addict].

Endocarditis due to Candida albicans (EC) is a rare cause of endocarditis in IV drug addicts (IVDA). Its diagnostic is usually difficult and high peripheral embolization is characteristic, and could affect big vessels. The case of a female patients (IVDA) 21 years old is discussed, who showed bilateral iliofemoral embolism and cerebral hemorrhage due to mycotic aneurysm breakage in a EC.