Air Quality in Africa: Public Health Implications.

This review highlights the importance of air quality in the African urban development process. We address connections between air pollution and (a) rapid urbanization, (b) social problems, (c) health impacts, (d) climate change, (e) policies, and (f) new innovations. We acknowledge that air pollution levels in Africa can be extremely high and a serious health threat. The toxic content of the pollution could relate to region-specific sources such as low standards for vehicles and fuels, cooking with solid fuels, and burning household waste. We implore the pursuit of interdisciplinary research to create new approaches with relevant stakeholders. Moreover, successful air pollution research must regard conflicts, tensions, and synergies inherent to development processes in African municipalities, regions, and countries. This includes global relationships regarding climate change, trade, urban planning, and transportation. Incorporating aspects of local political situations (e.g., democracy) can also enhance greater political accountability and awareness about air pollution.

Community Assessment of COPD Health Care (COACH) study: a clinical audit on primary care performance variability in COPD care.

BACKGROUND: A thorough evaluation of the adequacy of clinical practice in a designated health care setting and temporal context is key for clinical care improvement. This study aimed to perform a clinical audit of primary care to evaluate clinical care delivered to patients with COPD in routine clinical practice. METHODS: The Community Assessment of COPD Health Care (COACH) study was an observational, multicenter, nationwide, non-interventional, retrospective, clinical audit of randomly selected primary care centers in Spain. Two different databases were built: the resources and organization database and the clinical database. From January 1, 2015 to December 31, 2016 consecutive clinical cases of COPD in each participating primary care center (PCC) were audited. For descriptive purposes, we collected data regarding the age at diagnosis of COPD and the age at audit, gender, the setting of the PCC (rural/urban), and comorbidities for each patient. Two guidelines widely and uniformly used in Spain were carefully reviewed to establish a benchmark of adequacy for the audited cases. Clinical performance was analyzed at the patient, center, and regional levels. The degree of adequacy was categorized as excellent (> 80%), good (60-80%), adequate (40-59%), inadequate (20-39%), and highly inadequate (< 20%). RESULTS: During the study 4307 cases from 63 primary care centers in 6 regions of the country were audited. Most evaluated parameters were judged to fall in the inadequate performance category. A correct diagnosis based on previous exposure plus spirometric obstruction was made in an average of 17.6% of cases, ranging from 9.8 to 23.3% depending on the region. During the audited visit, only 67 (1.6%) patients had current post-bronchodilator obstructive spirometry; 184 (4.3%) patients had current post-bronchodilator obstructive spirometry during either the audited or initial diagnostic visit. Evaluation of dyspnea was performed in 11.1% of cases. Regarding treatment, 33.6% received no maintenance inhaled therapies (ranging from 31.3% in GOLD A to 7.0% in GOLD D). The two most frequently registered items were exacerbations in the previous year (81.4%) and influenza vaccination (87.7%). CONCLUSIONS: The results of this audit revealed a large variability in clinical performance across centers, which was not fully attributable to the severity of the disease.

[Effect of management on tree diversity in secondary vegetation in the Biosphere Reserve of Calakmul, Campeche, Mexico]. / Efecto del manejo sobre la diversidad de árboles en vegetación secundaria en la Reserva de la Biosfera de Calakmul, Campeche, México.

The tropical dry forest (BTS) of Yucatan Peninsula has been managed for centuries, but the relationship between these management efforts and their effects on trees diversity has not been fully understood. The aim of this study was to evaluate the effect of forest management (thinning, harvesting and enrichment of species), in the structure of secondary vegetation derived from dry tropical forests, in two communities in Calakmul, Campeche, Southeast Mexico. We analyzed changes in the composition, species richness, species diversity, and structure in secondary vegetation subject to following types of management: (1) secondary vegetation with beekeeping management (MA), secondary vegetation with forest management (MF), natural secondary vegetation (SM) and tropical dry forest (BTS). The species composition was similar between secondary vegetation managed and unmanaged. On the other hand, between managed secondary vegetation and BTS there were differences in species composition. Species richness was not different between all conditions. MA showed the lowest species diversity and presented higher average density (5 413±770.26 ind.ha-1).MF had lowest average density (3 289 ± 1 183.60 ind.ha-1). BTS showed the highest average basal area (24.89 ± 1.56 m2.ha-1) regarding the other conditions. We concluded that is necessary to keep monitoring the managed areas to detect effects of management that may be adverse or favorable to conservation of floristic diversity of BTS.

Exostosin-1/exostosin-2 expression and favorable kidney outcomes in lupus nephritis: a retrospective cohort study.

INTRODUCTION/OBJECTIVES: The heterodimer exostosin-1/exostosin-2 (EXO-1/2) is a novel antigen observed in membranous nephropathy associated with systemic lupus erythematosus. This study aimed to evaluate the association between EXO-1/2 positivity in kidney biopsy and kidney outcomes. METHODS: The kidney biopsy tissue from 50 class 5 lupus nephritis (LN) and 55 mixed class 3/4 + 5 LN patients was stained for EXO-1/2. Baseline clinical and histological characteristics were compared between EXO-1/2 positive and EXO-1/2 negative patients. Time-to-event analyses were performed to compare rates of response to therapy, kidney flares, and progression to a 40% decline of the glomerular filtration rate (eGFR), doubling of serum creatinine, and kidney failure. RESULTS: Fourteen out of 50 (28%) of class 5 and 5 out of 55 (9%) of mixed class 3/4 + 5 LN stained positive for EXO-1/2. Patients with class 5 LN and EXO-1/2 positive stain were younger, with better kidney function at presentation, and lower scarring in the kidney biopsy analysis. Over a median follow-up of 100 months, patients with positive EXO-1/2 staining had significantly lower rates of progression in the full cohort. When analyzed separately in class 5 and mixed class LN subgroups, there were significantly lower rates of progression to a 40% decline of the eGFR and non-statistically significant trends for doubling of serum creatinine and kidney failure. CONCLUSION: EXO-1/2 is a novel antigen detected in class 5 LN and associated with a good prognosis of kidney function. The incorporation of EXO-1/2 staining in clinical practice can potentially modify the management of LN due to its prognostic implications. Key Points • Exostosin-1/exostosin-2 antigen has been found in cases of membranous nephropathy associated with autoimmune diseases such as systemic lupus erythematosus. • Exostosin-1/exostosin-2 staining in the kidney biopsy of class 5 or mixed class 3/4 + 5 lupus nephritis is associated with a good long-term prognosis of kidney function. • The incorporation of exostosin-1/exostosin-2 staining into clinical practice can potentially modify management due to its prognostic implications.

Quantification of inaccurate diagnosis of COPD in primary care medicine: an analysis of the COACH clinical audit.

Background: Inaccurate diagnosis in COPD is a current problem with relevant consequences in terms of inefficient health care, which has not been thoroughly studied in primary care medicine. The aim of the present study was to evaluate the degree of inaccurate diagnosis in Primary Care in Spain and study the determinants associated with it. Methods: The Community Assessment of COPD Health Care (COACH) study is a national, observational, randomized, non-interventional, national clinical audit aimed at evaluating clinical practice for patients with COPD in primary care medicine in Spain. For the present analysis, a correct diagnosis was evaluated based on previous exposure and airway obstruction with and without the presence of symptoms. The association of patient-level and center-level variables with inaccurate diagnosis was studied using multivariate multilevel binomial logistic regression models. Results: During the study 4,307 cases from 63 centers were audited. The rate of inaccurate diagnosis was 82.4% (inter-regional range from 76.8% to 90.2%). Patient-related interventions associated with inaccurate diagnosis were related to active smoking, lung function evaluation, and specific therapeutic interventions. Center-level variables related to the availability of certain complementary tests and different aspects of the resources available were also associated with an inaccurate diagnosis. Conclusions: The prevalence data for the inaccurate diagnosis of COPD in primary care medicine in Spain establishes a point of reference in the clinical management of COPD. The descriptors of the variables associated with this inaccurate diagnosis can be used to identify cases and centers in which inaccurate diagnosis is occurring considerably, thus allowing for improvement.

Publication rate of abstracts presented at the 2010 Canadian Ophthalmological Society Annual Meeting.

OBJECTIVE: To evaluate the publication rate of submitted abstracts accepted for presentation at the 2010 Canadian Ophthalmological Society (COS) Annual Meeting in peer-reviewed journals. DESIGN: A retrospective analysis and literature search of abstracts presented at the 2010 COS Annual Meeting. METHODS: Abstracts accepted as an oral presentation or poster from the 2010 COS Annual Meeting were tabulated by type of presentation (oral vs poster), subspecialty, study design, number of authors, and principal investigator's institution. A PubMed search was conducted for each abstract by key word, first author, and last author. The year of publication, journal, and impact factor were recorded for identified publications. Publication rate was calculated by type of presentation, subspecialty, study design, number of authors, and institution. RESULTS: A total of 175 abstracts were presented at the 2010 COS Annual Meeting. There were 105 oral (60%) and 70 poster (40%) presentations. The overall publication rate was 45.7%; 49.5% for oral presentations and 40.0% for posters. Cornea (57.6%) and public health (54.5%) had the highest publication rates of all subspecialties. Randomized control trials (71.4%) and cohort studies (70.0%) had higher publication rates than other study designs. Overall, 28.8% of abstracts were published in the Canadian Journal of Ophthalmology. The average impact factor of all publications was 2.73. CONCLUSION: Of abstracts presented at the 2010 COS Annual Meeting, 45.7% were published within 5 years after the conference. This publication rate is within the upper end of previously reported meeting publication rates for medical societies.

Situación epidemiológica de la Tuberculosis infantil en el departamento de Caldas 2016-2018 / Epidemiologic situation about Tuberculosis in children at the department of Caldas 2016-2018

Resumen Objetivo: Describir la epidemiología de la tuberculosis infantil en el Departamento de Caldas (2016-2018). Materiales y métodos: Estudio observacional-descriptivo. Resultados: se registraron 41 casos (4%, 41/1.029). La incidencia fue 2,96/100.000 (2016), 6,31/100.000 (2017) y 4,34 /100.000 (2018). La mediana de edad fue 10 años (RI 2-16). El sexo femenino aporto 53,66%, predominó el estrato socioeconómico bajo (90,24%, 37/41), Manizales aportó la mayor carga de casos (43,9%, 18/41). La TB pulmonar se presentó en 39,02% de los casos de tuberculosis infantil. 68,29% (28/41) reportaron haber tenido síntomas alrededor de 15 días de evolución. 70,73% (29/41) presentarón tos con expectoración y 65,85% (27/41) reportaron astenia o disnea. La PPD se midió en 65,85% de la población (27/41) siendo positiva (> 10 mm) en 62,96% (17/27). El diagnóstico radiológico se realizó en 56,1% (23/41). Se reportaron 10 casos de TB extrapulmonar, la presentación más frecuente fue ganglionar (7/10). Se presentaron dos casos fatales. Discusión: La tuberculosis infantil en Caldas refleja la naturaleza de la enfermedad, afectándose principalmente niñas con vulnerabilidades sociales. El síntoma más común es tos húmeda con expectoración, similar a otros estudios desarrollados en Colombia. No se cuenta con una herramienta diagnostica con rendimiento suficiente, por lo que este sigue siendo un desafío clínico.

Abstract Objective: To describe the epidemiology of childhood TB in the Department of Caldas (2016-2018). Materials and methods: Observational-descriptive study. Results: 41 cases were registered (4%, 41 / 1,029). The incidence was 2.96 / 100,000 (2016), 6.31 / 100,000 (2017) and 4.34 / 100,000 (2018). The median age was 10 years (IR 2-16). The female sex contributed 53.66%, the low socioeconomic status predominated (90.24%, 37/41). Manizales contributed the highest case load (43.9%, 18/41). Pulmonary TB occurred in 39.02% of childhood TB cases. 68.29% (28/41) reported having symptoms around 15 days of evolution. 70.73% (29/41) presented cough with expectoration and 65.85% (27/41) reported asthenia or dyspnea. PPD was measured in 65.85% of the population (27/41), being positive (> 10 mm) in 62.96% (17/27). The radiological diagnosis was made in 56.1% (23/41). 10 cases of extrapulmonary TB were reported, the most frequent presentation was lymph node TB (7/10). Two fatal cases occurred. Discussion: Childhood tuberculosis in Caldas reflects the nature of the disease, mainly affecting girls with social vulnerabilities. The most common symptom is wet cough with expectoration, similar to other studies developed in Colombia. There is not a diagnostic tool with sufficient performance, so this remains a clinical challenge.

Análisis del modelo de gestión de casos para personas en situación de pluripatología y cuidadores familiares / Análise do modelo de gestão de casos para pessoas em situação de pluripatologia e cuidadores familiares / Analysis of the case management model for people with multimorbidity and family caregivers

RESUMEN Objetivo: comprender la experiencia de Enfermeras y tomadores de decisión frente a la implementación del modelo de gestión de casos en la atención de pacientes pluripatológicos y sus cuidadores familiares. Método: estudio descriptivo cualitativo con enfermeras y profesionales tomadores de decisión, Bogotá - Colombia. Análisis de contenido de diarios de campo y entrevistas semiestructuradas en 2019-2020. Procesamiento y análisis de datos con ATLAS-Ti. Resultados: participaron seis enfermeras y dos profesionales tomadores de decisión. Categorías emergentes: Percepción de enfermería sobre el sujeto de cuidado pluripatológico y su entorno social; Experiencia de cuidado enfermero en la gestión de casos: rol, aportes y dificultades; Implementación del modelo de gestión de casos en el contexto colombiano: implementación, efecto y rol de los prestadores. Conclusión: La gestora de casos requiere experiencia y competencias para comunicarse adecuadamente. La gestión de casos mejora calidad de vida, adherencia terapéutica, utilización de servicios sanitarios y reduce la sobrecarga.

RESUMO Objetivo: compreender a experiência de Enfermeiros e tomadores de decisão na implementação do modelo de gerenciamento de caso no cuidado a pacientes com pluripatologias e seus cuidadores familiares. Método: estudo descritivo qualitativo com enfermeiras e profissionais tomadores de decisão, Bogotá - Colômbia. Análise de conteúdo de diários de campo e entrevistas semiestruturadas em 2019-2020. Processamento e análise de dados com ATLAS-Ti. Resultados: participaram seis enfermeiras e dois profissionais tomadores de decisão. Categorias emergentes: Percepção da enfermagem sobre a temática do cuidado patológico múltiplo e seu meio social; Experiência assistencial de enfermagem no gerenciamento de casos: papéis, contribuições e dificuldades; Implementação do modelo de gestão de casos no contexto colombiano: implementação, efetivação e papel dos profissionais. Conclusão: Os gestores de casos requer experiência e habilidades para se comunicar adequadamente. O gerenciamento de casos melhora a qualidade de vida, a adesão terapêutica, a utilização de serviços de saúde e reduz a sobrecarga.

ABSTRACT Objective: To understand the experience of nurses and decision-makers when implementing the case management model in the care of patients with multimorbidity and their family caregivers. Method: Qualitative descriptive study including nurses and decision-makers and conducted in Bogotá, Colombia. Content analysis of field journals and semi-structured interviews carried out in 2019-2020 was performed. ATLAS-TI was used for data processing and analysis. Results: Six nurses and two decision-makers participated in the study. The following categories emerged: Nursing perception of care provided to patents with multimorbidity and their social environment; Nursing care experience in case management: role, contributions, and difficulties; and Implementation of the case management model in the Colombian context: implementation, impact, and role of providers. Conclusion: The case manager requires experience and skills to communicate properly. Case management improves quality of life, therapeutic adherence, use of health services and reduces overload.

Strangulated internal hernia by giant Meckel diverticulum presented as acute appendicitis.

INTRODUCTION: Internal hernia due to a Meckel diverticulum is a common presentation of bowel obstruction mostly seen in pediatric population. However, it has been stated that among 5% of the patients had a giant Meckel diverticulum (defined as a Meckel diverticulum with increased dimensions than the ones commonly found), being this condition very unusual. PRESENTATION OF CASE: We presented a 19 year old male with acute abdominal pain suggestive of appendicitis. During appendectomy we discovered ischemic and necrotic signs in a bowel segment, leading us to perform a laparotomy that revealed a portion of ischemic and necrotic jejunum, and another bowel segment with a strong adherence to the mesentery root that created an internal hernia. The internal hernia was reduced and the injured bowel portions were resected. Necrotic bowel samples were sent to the pathology department who posteriorly reported a giant Meckel diverticulum. The patient had an excellent recovery after procedure. DISCUSSION: After searching in PubMed for a similar association between Meckel diverticulum and internal hernia, we found few cases that reported a giant Meckel diverticulum and a low occurrence with internal hernias making our case not so common to find. CONCLUSION: We concluded that a giant Meckel diverticulum in association with mesenteric defects producing internal hernias are not common pathologies to find together in a patient as our research and case suggest.

Efecto del manejo sobre la diversidad de árboles en vegetación secundaria en la Reserva de la Biosfera de Calakmul, Campeche, México / Effect of management on tree diversity in secondary vegetation in the Biosphere Reserve of Calakmul, Campeche, Mexico

ResumenEl bosque tropical seco (BTS) de la Península de Yucatán ha sido manejado por siglos, pero la relación del efecto del manejo sobre la diversidad de árboles no ha sido completamente entendida. El objetivo de este estudio fue evaluar el efecto del manejo forestal (aclareos, aprovechamiento y enriquecimiento de especies) en la estructura de la vegetación secundaria derivada de bosques tropicales secos, en dos comunidades en Calakmul, Campeche, Sureste de México. Se analizaron cambios en la composición, riqueza de especies, diversidad de especies y estructura en vegetación secundaria sujetas a los siguientes tipos de manejo: 1) vegetación secundaria con manejo apícola (MA), 2) vegetación secundaria con manejo forestal (MF), 3) vegetación secundaria sin manejo (SM) y bosque tropical seco (BTS). La composición de especies fue similar entre vegetación secundaria manejada y no manejada. Por otro lado, entre vegetación secundaria manejada y el BTS hubo diferencias en la composición de especies. La riqueza de especies no fue diferente entre todas las condiciones. La MA mostró la más baja diversidad de especies y presentó la mayor densidad promedio (5 413 ± 770.26 ind./ha). La MF tuvo la menor densidad promedio (3 289 ± 1 183.60 ind./ ha). El BTS mostró la mayor área basal promedio (24.89 ± 1.56 m2/ha) respecto a las demás condiciones. Se concluye que es necesario mantener el monitoreo de las áreas manejadas, para detectar efectos del manejo que pueden ser adversos o favorables para la conservación de la diversidad florística de los BTS.

Abstract:The tropical dry forest (BTS) of Yucatan Peninsula has been managed for centuries, but the relationship between these management efforts and their effects on trees diversity has not been fully understood. The aim of this study was to evaluate the effect of forest management (thinning, harvesting and enrichment of species), in the structure of secondary vegetation derived from dry tropical forests, in two communities in Calakmul, Campeche, Southeast Mexico. We analyzed changes in the composition, species richness, species diversity, and structure in secondary vegetation subject to following types of management: (1) secondary vegetation with beekeeping management (MA), secondary vegetation with forest management (MF), natural secondary vegetation (SM) and tropical dry forest (BTS). The species composition was similar between secondary vegetation managed and unmanaged. On the other hand, between managed secondary vegetation and BTS there were differences in species composition. Species richness was not different between all conditions. MA showed the lowest species diversity and presented higher average density (5 413±770.26 ind.ha-1).MF had lowest average density (3 289 ± 1 183.60 ind.ha-1). BTS showed the highest average basal area (24.89 ± 1.56 m2.ha-1) regarding the other conditions. We concluded that is necessary to keep monitoring the managed areas to detect effects of management that may be adverse or favorable to conservation of floristic diversity of BTS. Rev. Biol. Trop. 65 (1): 41-53. Epub 2017 March 01.

Amikacin alters auditory brainstem conduction time in newborns.

The purpose of this paper was to describe whether there are some relationships between amikacin serum levels and central conduction time in brainstem auditory evoked potentials (BAEP) within therapeutic range levels in newborns as index of drug toxicity in brainstem auditory centers in neonatally exposed infants. We performed a cross-sectional study to compare BAEP from 35 infants under amikacin administration and 24 control infants; both examinations were blinded to investigators. Bivariate and partial correlations were calculated between amikacin and BAEP measurements in treated infants. Amikacin determinations were within therapeutic levels. No clinical alterations in BAEP were found and no differences between amikacin-treated and control infants were found. Significant positive Pearson correlation between latency of I-III interwaves interval and amikacin Cmin serum levels was found and was present when calculations were controlled by partial correlations for gestational age at birth and Apgar score at 5 min. The findings suggest that increased amikacin levels in newborns are related to increased latencies in I-III interwave interval in infants, which may be an early index of brainstem effects of subclinical neurotoxicity of amikacin.

Dengue clásico y hemorrágico: sospecha diagnostica de una enfermedad reemergente / Hemorragic and clasical Dengue: suspect diagnosis of a reemerging disease

El dengue, conocido popularmente como” fiebre quebrantahuesos” es la más importante enfermedad viral humana transmitida por vectores artrópodos del genero Aedes, principalmente A. aegypti, se ha extendido en regiones tropi­cales y subtropicales alrededor del mundo representando una amenaza para millones de personas por lo que se la con­sidera como una de las principales enfermedades virales reemergentes a escala mundial. El dengue presenta un amplio espectro de manifestaciones clínicas que van desde los casos inaparentes hasta las formas aparentes de Dengue clásico (DC) y las formas graves y a veces fatales de Dengue Hemorrágico (DH) /Síndrome de Choque por Dengue ( SCD) En virtud a que el dengue puede confundirse con múltiples enfermedades , numerosos casos de infección pueden ser sub­diagnosticados o mal diagnosticados, la sospecha diagnostica es fundamental para un diagnostico precoz y un plan te­rapéutico temprano que puede modificar el curso de la enfermedad.

Dengue is the most important re­emerging infectious diseases called “bone­breaker” transmitted to humans through the bites of infective female Aedes mosquitoes. It is extended in tropical and sub­tropical regions around the world; million people are now at risk from dengue and it is considered the most important re­emerging infectious diseases, clinical fe­atures are very variable from due to multiple alterations induced by the virus in the organism (DF/DHF). Diagnosis of dengue virus infection it must be difficult if we do not suspect it, rapid clinical and serologic diagnosis is an important steep to management and prevention skills.

Percepción del suicidio por los pobladores del Municipio de Vacas - Cochabamba / s

Los pobladores del Municipio de Vacas, no perciben el suicidio como un problema de salud; para ellos, no es tan importante este problema, a pesar de que existen casos de suicidio que ellos mismos indican, tanto las personas individualmente, como familias y autoridades, piensan que el suicidio es problema de cada familia. Para

Conocimiento sobre la planificación familiar y la aplicación práctica en el desempeño de las funciones del personal de enfermería intrahospitalario y comunitario, Cochabamba 1994 / Knowledge of the family planning and the application practices in the performance of the functions of the nursing personnel in hospital and in community, Cochabamba 1994

En muchos paises la Planificación Familiar es un componente prioritario dentro de las actividades de la atención de la Salud del personal de Salud, con el fin de elevar, la calidad en la prestación de servicios para la salud por medio de la educación. El personal de Salud, debe responsabilizarse de esta situación ya que tienen un compromiso fundamental con la Atención Primaria de Salud: sin embargo este nivel es el menos explotado. Estudio prospectivo, transversal, descriptivo, analítico y estratificado. Estudio realizado en 115 enfermeras, de dos Instituciones Hospitalarias y los Distritos Norte, Centro y Sud de la ciudad de Cochabamba. El 34.7 por ciento son profesionales y el 65.3 por ciento auxiliares de enfermería. El personal de enfermería se encuentra entre 10 y más años ejerciendo la profesión. El mayor porcentaje de la población indican que realizan actividades educativas pero con la observación que este disminuye

Pancreatitis aguda en el Hospital Pablo Artuto Suárez

Se realizó un estudio retrospectivo de 130 historias clínicas, con diagnóstico de pancreatitis aguda, en los servicios de emergencia y medicina interna del Hospital Pablo Arturo Suárez, durante un período de 10 años desde marzo de 1985 a marzo de 1996. Encontrándose que 64 pacientes (49,30 por ciento) correspondían al sexo femenino y 66 (50.70 por ciento) al sexo masculino. La edad va desde 15 a 65 años, con una media de 38 años. La etiología principal fue litiasis biliar en 64 (49.23 por ciento), alcoholismo crónico en 56(43,07 por ciento) y otros en 10(7.69 por ciento). El dolor típico de la pancreatitis se presentó en 84 pacientes (64.6 por ciento) mientras que en 46 (35.3 por ciento) se manifestó dolor atípico. Vómito se presentó en 103 (79.23 por ciento), fiebre en 28 (21.53 por ciento) puntos pancreáticos positivos en 12 (9,23 por ciento). Los valores de amilasa sérica se reportaron elevados en 76 pacientes (58.46 por ciento) y la lipasa sérica estuvo elevada en 65 casos (50 por ciento). Se realizó eco abdominal en 79 (60.76 por ciento); de los cuales 29 (36,7 por ciento) reportó pancreatitis aguda, 18 (22.6 por ciento) litiasis vesicular, 3 (3.7 por ciento) líquido peritoneal libre y 26 (32.9 por ciento) no reportaron alteración alguna. Las radiografías de abdomen presentaron íleo paralítico asa centinela en 31 (23.84 por ciento color cortado en 19 (14.6 por ciento) en el resto no se encontró ninguna patología significativa. El tratamiento consistió en la administración de analgésicos a todos, hidratación en 129 (99,2 por ciento) colocación de sonda nasogástrica a 102 (92.3 por ciento) y antibioticoterápia a 101 (79.69 por ciento). El objetivo es establecer la base estadística de edad, sexo, síntomas, signos, resultados de exámenes de laboratorio y gabinete y complicaciones que se presentan en el transcurso de la enfermedad.

Programa de Salud. Hospital Unión Europea, Tapacarí. Gerencia Red de Servicios XII Tapacarí: Noviembre 2004 a Febrero 2005 / Health Program: Hospital Unión Europea, Tapacari. Services Network Management XII Tapacari

El Municipio de Tapacarí se encuentra ubicado en una zona semialtiplánica a 70 Km. de la ciudad de Cochabamba, limita al este con Quillacollo y Capinota, al oeste con el departamento de Oruro.

Pancreatitis aguda en el Hospital Pablo Arturo Suàrez

Se realizò un estudio retrospectivo de 130 historias clìnicas, con diagnòstico de pancreatitis aguda, en los servicios de emergencia y medicina interna del Hospital Pablo Arturo Suàrez, desde 1985 a 1996. Encontràndose que 64 pacientes (49.30 por ciento) correspondìan al sexo femenino y 66(50.70 por ciento) al sexo masculino. La edad va desde 15 a 65 años, con una media de 38 años. La etiologìa principal fue litiasis biliar en 64(49.23 por ciento), alcoholismo crònico en 56(43.07 por ciento) y otros en 10(7.69 por ciento). El dolor tìpico de la pancreatitis se presentò en 84 pacientes (64.6 por ciento), mientras que en 46 (35.3 por ciento) se manifestò dolor atìpico. Vòmito se presentò en 103 (79.23 por ciento), fiebre en 28(21.53 por ciento)...