Clinical experience of plasmapheresis for neuromyelitis optica patients in Mexico.

Background: Neuromyelitis optica spectrum disorders (NMOSDs) are a group of chronic immune-mediated demyelinating diseases of the central nervous system. Their pathophysiology dependent on humoral mediated responses caused by autoreactive IgG antibodies against aquaporin-4 water channels (AQP4-IgG) or myelin oligodendrocyte glycoprotein (MOG-IgG). Plasma exchange (PLEX) has proved to be a beneficial therapy in patients with severe relapses.

[Implementation of diabetic retinopathy screening using digital retinography in primary care].

Objective: To improve early detection and monitoring of diabetic retinopathy (DR) in two primary care centers (PCC) using a non-mydriatic retinal camera (NMRC).

Design: Prospective longitudinal descriptive study.

Location: Area 11 Primary Care, Madrid.

Implementing an action protocol on prostatic disease in primary care and impact on referrals to urology.

Objectives: To determine the impact of implementing a joint action protocol on prostatic disease on the referrals to Urology from Primary Care in a health care area.

Methods: We drafted a protocol for managing patients consulting for clinical signs and symptoms associated to benign prostatic hyperplasia (BPH) and to test PSA in asymptomatic males. At the same time, three e-mail addresses were opened for consultations generated from Primary Care, and joint sessions were carried out in the primary health care centers.

[Organizational procedures and health care management. A point of view from primary care centres].

Objective: We aimed to know how the directive teams perceive the implementation of organizational procedures in relation with the health care management in the primary care setting.

Design: Multicentre cross-sectional descriptive study.

Setting: Area 11 Madrid Primary Care Service, Spain.