Factors Associated with In-Hospital Mortality in Acute Care Hospital Settings: A Prospective Observational Study.

In-hospital mortality is a key indicator of the quality of care. Studies so far have demonstrated the influence of patient and hospital-related factors on in-hospital mortality. Currently, new variables, such as nursing workload or the level of dependency, are being incorporated.

Value-Based Healthcare in Ostomies.

In order to achieve significant improvements in quality, cost, and accessibility (the health "iron triangle"), innovation in organizational and service delivery models is necessary to increase the value of healthcare. The aim of this study is to evaluate the efficiency of a model of organizational innovation based on advanced practice nurse in the care of people with ostomies (APN-O) versus usual care. An observational, exploratory, analytical, prospective study with a six-month follow-up was carried out at 12 hospitals that implemented this model in Andalusia.

Two new species of Pseudoniphargus (Amphipoda: Pseudoniphargidae) from southern Spain.

Two new species of subterranean water amphipod crustaceans of the genus Pseudoniphargus (Pseudoniphargidae) are described from gypsum caves of Andalusia, southern Spain. Both species share the extreme elongation of the male third uropod, a striking feature frequently reported in the genus and that seems to have arisen independently in several lineages. These findings raise the number of species of Pseudoniphargus known from the area to 17.

[Constrictive pericarditis as the first sign of lung cancer].

Symptoms such as cough and hemoptysis in patients with lung cancer can be the consequence of local bronchopulmonary disease, tumor growth that leads to compression of surrounding structures, distant metastases, diverse systemic effects (anorexia, asthenia, weight loss), or paraneoplastic syndromes associated with tumor production of certain hormones. Approximately 10% of patients are asymptomatic at diagnosis. We report the case of a 77-year-old man with dyspnea, pleuritic chest pain, and lower limb edema.