RESUMEN
Patients with subarachnoid neurocysticercosis (NCC) are usually older than those with parenchymal disease. Whether this difference reflects a prolonged presymptomatic period or a delay in diagnosis is not clear. From 408 eligible patients, we retrospectively compared the age at symptom onset in 140 patients diagnosed with parenchymal (pure viable or pure calcified) and subarachnoid NCC who had a confirmatory image available not more than 2 years after the beginning of symptoms. Patients with mixed (parenchymal and subarachnoid) NCC or those with parenchymal cysts at different stages (viable and/or degenerating and/or calcified) were not included. After controlling by sex and residence in rural endemic regions, the mean age at symptom onset in patients with subarachnoid disease was 13.69 years older than those with viable parenchymal disease. A long incubation period is a major contributing factor to older age at presentation in subarachnoid NCC, independent of delayed diagnosis or access to care.
Asunto(s)
Quistes , Neurocisticercosis , Humanos , Anciano , Adolescente , Neurocisticercosis/diagnóstico por imagen , Neurocisticercosis/epidemiología , Estudios Retrospectivos , Espacio Subaracnoideo , Población RuralRESUMEN
El presente estudio de investigación tuvo como objetivo identificar los factores de riesgo intrínsecos y extrínsecos asociados a anemia ferropénica en niños de 6 meses. El estudio fue de nivel aplicativo, tipo cuantitativo, método descriptivo de corte transversal. La técnica fue la entrevista y el instrumento, el cuestionario; siendo la muestra 40 niños de 6 meses. Los resultados obtenidos muestran, con respecto a los factores intrínsecos, que el 45 por ciento de niños nacieron pequeños para la edad gestacional, el 40 por ciento nacieron prematuros y el 20 por ciento nació con bajo peso. En relación a los factores extrínsecos, el 58 por ciento de niños no consumió suplemento de hierro y el 53 por ciento se alimentaba con lactancia mixta u otros. El 58 por ciento de madres padeció de hiperémesis gravídica, el 53 por ciento desconoce sobre la enfermedad, el 50 por ciento tuvo un periodo de menstruación más de 5 días antes de su embarazo y el 48 por ciento sufrió de anemia durante su embarazo. En conclusión: Los factores intrínsecos que presentaron valores significativos fueron pequeño para la edad gestacional, prematurez y peso bajo al nacer. Los factores extrínsecos que presentaron mayor proporción fueron no consumo de suplemento de hierro, hiperémesis gravídica, desconocimiento de la madre, lactancia mixta u otros y complicación del embarazo. Destacando la trascendencia del factor desconocimiento de la madre acerca de la enfermedad.
This research study aimed to identify the intrinsic risk factors associated with iron deficiency and anemia in children 6 months extrinsic. The study was level application, quantitative, cross-sectional method. The technique was the interview and the instrument, the questionnaire; where sample 40 children 6 months. The results show, with respect to intrinsic factors, that 45 per cent of children born small for gestational age, 40 per cent were born prematurely and 20 per cent were born underweight. With regard to extrinsic factors, 58 per cent of children consumed iron supplements and 53 per cent fed on mixed feeding or other. 58 per cent of mothers suffered from hyperemesis gravidarum, 53 per cent do not know about the disease, 50 per cent of mothers had a menstrual period for more than 5 days prior to pregnancy and 48 per cent suffered from anemia during pregnancy. In conclusion: The intrinsic factors with significant values were small for gestational age, prematurity and low birth weight. Extrinsic factors with higher proportion were no iron supplement consumption, hyperemesis gravidarum, ignorance of the mother, or other mixed breastfeeding and pregnancy complication. Stressing the importance of the mother of ignorance about the disease factor.