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Skills and Expertise
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Publications
Publications (51)
Introduction
Psychometrics plays a vital role in evaluating educational research, including the analysis of multiple-choice exams. This study aims to improve the discriminatory ability of the “Médico Interno Residente” (MIR) medical exam in Spain, used to rank candidates for specialized healthcare training, through psychometric analysis.
Methods
W...
The significant impact of COVID-19 worldwide has made it necessary to develop tools to identify patients at high risk of severe disease and death. This work aims to validate the RIM Score-COVID in the SEMI-COVID-19 Registry. The RIM Score-COVID is a simple nomogram with high predictive capacity for in-hospital death due to COVID-19 designed using c...
This research explores the results that an examinee would obtain if taking a multiple-choice questions test in which they have doubts as to what the true answer is among different options. This problem is analyzed by making use of combinatorics and analytical and sampling methodologies. The Spanish exam through which doctors become medical speciali...
Introducción. En España, el acceso a la formación médica especializada se hace a través de la prueba MIR. Esta prueba la convocan anualmente desde 1978 los Ministerios de Sanidad, y Educación y Formación Profesional. Así, teniendo en cuenta tanto el resultado que se obtiene en la prueba como el baremo promedio del grado, se asigna un número de orde...
Resumen
Introducción: El examen de acceso a la especialización médica en España, conocido como prueba MIR, se convoca anualmente desde 1978 y se realiza simultáneamente en diversas sedes distribuidas por toda España. El acceso a las distintas especialidades médicas está condicionado por el baremo académico o puntaje conseguido en el grado de Medic...
Introduction
This work aims to evaluate whether a clinical examination and measurement of N-terminal pro-brain natriuretic peptide can predict poor prognosis in outpatients with heart failure.
Patients and methods
We carried out a retrospective study from 2010 to 2018 in 238 patients diagnosed with heart failure. At baseline, we evaluated the pres...
Resumen
Introducción
El objetivo del estudio fue evaluar si la exploración física y la determinación de la fracción N-terminal del propéptido natriurético cerebral pueden predecir un peor pronóstico en pacientes ambulatorios con insuficiencia cardíaca.
Pacientes y métodos
Estudio retrospectivo llevado a cabo entre 2010 y 2018, en 238 pacientes di...
COVID-19 has overloaded national health services worldwide. Thus, early identification of patients at risk of poor outcomes is critical. Our objective was to analyse SARS-CoV-2 RNA detection in serum as a severity biomarker in COVID-19. Retrospective observational study including 193 patients admitted for COVID-19. Detection of SARS-CoV-2 RNA in se...
Introduction
Patients with community-acquired pneumonia (CAP) undergo a dysregulated host response that is related to mortality. MicroRNAs (miRNAs) participate in this response, but their expression pattern and their role as biomarkers in CAP have not been fully characterized.
Methods
A prospective observational study was performed in a cohort of...
Background and Objectives: The aim of the present research is to study the questions used in the 2018 MIR exam (a test that allows access to specialized medical training in Spain), describe their psychometric properties, and evaluate their quality. Materials and Methods: This analysis is performed with the help of classical test theory (CTT) and it...
Resumen
Introducción
La neumonía adquirida en la comunidad (NAC) es una infección frecuente y grave. El objetivo de este trabajo es estudiar la utilidad pronóstica del porcentaje de neutrófilos (NCP) y del cociente neutrófilos/linfocitos (NLR) en pacientes con NAC.
Métodos
Estudio retrospectivo de pacientes hospitalizados por NAC con analítica al...
Introduction and Objectives
Pulmonary congestion (PC) is associated with an increased risk of hospitalization and death in patients with heart failure (HF). Lung ultrasound has shown to be highly sensitive for detecting PC in HF. The aim of this study is to evaluate whether lung ultrasound–guided therapy improves 6-month outcomes in patients with H...
Introduction
Neurology is one of the medical specialties offered each year to residency training candidates. This project analyses the data associated with candidates choosing neurology residency programmes in recent years.
Methods
Data related to specialty selection were obtained from official reports by the Spanish Ministry of Health, Social Ser...
Introduction
Community-acquired pneumonia (CAP) is a common serious infection. This study aimed to evaluate the prognostic utility of neutrophil count percentage (NCP) and neutrophil–lymphocyte ratio (NLR) in patients with CAP.
Methods
Retrospective study of hospitalized patients with CAP. Patients had a blood test at admission and 3–5 days after...
[This corrects the article DOI: 10.1371/journal.pone.0173947.].
Introducción. En España, el procedimiento reglado de acceso a la formación médica especializada tipo MIR exige la superación de un examen. El examen es un ejercicio tipo test de respuesta múltiple. Superado éste, se bareman los méritos académicos previos de los aspirantes. La ponderación de ambos valores permite sumarlos y ordenar a los aspirantes...
Introduction:
Heart failure (HF) is an important healthcare problem. Knowing volume status in outpatients with chronic HF to adjust treatment and to avoid decompensations is a challenge. The aim of this study is comparing the usefulness of inferior vena cava (IVC) ultrasound, lung ultrasound, bioelectrical impedance analysis (BIA) and natriuretic...
Introduction: In Spain, the regulated procedures of specialized medical training impose the passing of the MIR test. After this, the candidates choose the preferred specialty according to the order number obtained. The order number depends on the score of the applicant in the MIR exam and their academic record. Subjects and methods: The database us...
Introduction:
Neurology is one of the medical specialties offered each year to residency training candidates. This project analyses the data associated with candidates choosing neurology residency programmes in recent years.
Methods:
Data related to specialty selection were obtained from official reports by the Spanish Ministry of Health, Social...
Background
Inferior vena cava (IVC) ultrasonography has been used for the diagnosis and prognosis of acute heart failure (HF). Its usefulness in chronic HF is less known.
Hypothesis
IVC ultrasonography is a useful tool in the care of patients with chronic HF.
Methods
For this prospective cohort study, 95 patients with chronic HF were included con...
Introduction:
Gastroenterology is one of the medical specialties offered to residency training candidates each year. This project analyzes the data associated with the choice of a Gastroenterology residency program in recent years.
Materials and methods:
Data related to specialty selection were obtained from official reports with regard to the a...
Introduction
The increase and persistence of inflammation in community-acquired pneumonia (CAP) patients can lead to higher mortality. Biomarkers capable of measuring this inadequate inflammatory response are likely candidates to be related with a bad outcome. We investigated the association between concentrations of several inflammatory markers an...
Comparative summary of lymphocytic and neutrophilic parameters between survivors and non-survivors at 90-day follow-up, including values of univariate OR, multivariate OR and AUC from the statistical analyses.
(DOC)
Comparative summary of lymphocyte and neutrophil parameters between survivors and non-survivors at 30-day follow-up, including values of univariate OR, multivariate OR and AUC from the statistical analyses.
(DOC)
Introducción. En España, el acceso a la formación médica especializada, imprescindible para ejercer como médico especialista, se realiza a través de la prueba MIR. Superada esta prueba, los aspirantes pueden acceder a la formación en distintas especialidades ofertadas por numerosos hospitales a lo largo de todo el país.
Sujetos y métodos. Para este...
Introducción.
El Ministerio de Sanidad, Servicios Sociales e Igualdad de España convoca anualmente el examen de acceso a la formación sanitaria especializada. La comisión calificadora de esta prueba es la encargada de aprobar el cuaderno de preguntas de examen e invalidar las preguntas que considere improcedentes. El presente trabajo propone una me...
Introduction: In Spain, to practice as a medical specialist, it is required to have the certification of the appropriate medical specialty. In order to have access to a medical specialist training programme, it is mandatory to overcome the MIR test. Passed the test, MIR training programs accessed in different hospitals and teaching units are relati...
Both Framingham criteria and natriuretic peptides (NPs) may worsen their diagnostic validity for acute decompensated heart failure (ADHF) in elderly patients with comorbidities, mainly renal failure. Ultrasound of inferior vena cava (IVCu) and bioelectrical impedance analysis (BIA) are useful tools for detecting ADHF, although their utility compare...
Mycoses are serious diseases with potentially fatal outcome. The introduction of immunosuppressive treatments and life support techniques has led to a growing prevalence of different degrees of immunosuppression. Compromised immune response is the primary risk factor for the development of opportunistic mycoses. Early diagnosis and treatment are cr...
Resumen
Las micosis son enfermedades graves y potencialmente letales. Con el desarrollo de terapias inmunosupresoras y técnicas de soporte vital, la inmunosupresión en sus diferentes grados es cada vez más prevalente. El deterioro de la respuesta inmune es el factor de riesgo principal para el desarrollo de las micosis oportunistas. El diagnóstico...
Background:
Late prognosis of Community-Acquired Pneumonia (CAP) patients is related to cardiovascular events. Persistence of inflammation-related markers, defined by high circulatory levels of interleukin 6 and 10 (IL-6/IL-10), is associated with a higher post-event mortality rate for CAP patients. However, association between these markers and o...
Objective: To describe and analyze the clinical and epidemiologic characteristics of the care process of patients who died within 24 hours of arriving at emergency department. Methods: Descriptive single-centre study of patients who died in the first 24 hours of arrival at our emergency department in 2009. Results: A total of 164 deaths occurred; 8...
Objetivos: Describir y analizar las características clínico-epidemiológicas y el proceso asistencial de los pacientes que fallecen durante las primeras 24 horas tras su llegada a urgencias.
Método: Estudio unicéntrico descriptivo de todos los pacientes fallecidos durante las primeras 24 horas tras su llegada a urgencias durante el año 2009. Se comp...
