ABSTRACT
Background: The digital revolution is creating opportunities and challenges in the field of medicine and the Digital Hospital could be a benefit for patients, if they are able to use the Internet. Aim: Identify the barriers that limit Internet use among stroke patients treated in a public hospital in Santiago. Material and Methods: Sociodemographic, clinical and functional variables that could influence the use of the Internet were collected in 107 patients with stroke. Results: Seventy five percent of patients had access to the Internet, but only 29% knew how to use it before their hospitalization. Seventy five percent were older adults, 74% had a low level of education, 78% had an income below the minimum Chilean salary and 56% were discharged with a severe disability (modified Rankin Scale 4 or 5). There was a significant relationship between Internet use and the level of education, income and age. Conclusions: Income levels, age, schooling and stroke related disability limit Internet use in this population.
Subject(s)
Humans , Stroke , Chile/epidemiology , Internet , Delivery of Health Care , Health Facilities , IncomeABSTRACT
BACKGROUND: The digital revolution is creating opportunities and challenges in the field of medicine and the Digital Hospital could be a benefit for patients, if they are able to use the Internet. AIM: Identify the barriers that limit Internet use among stroke patients treated in a public hospital in Santiago. MATERIAL AND METHODS: Sociodemographic, clinical and functional variables that could influence the use of the Internet were collected in 107 patients with stroke. RESULTS: Seventy five percent of patients had access to the Internet, but only 29% knew how to use it before their hospitalization. Seventy five percent were older adults, 74% had a low level of education, 78% had an income below the minimum Chilean salary and 56% were discharged with a severe disability (modified Rankin Scale 4 or 5). There was a significant relationship between Internet use and the level of education, income and age. CONCLUSIONS: Income levels, age, schooling and stroke related disability limit Internet use in this population.
Subject(s)
Stroke , Chile/epidemiology , Delivery of Health Care , Health Facilities , Humans , Income , Internet , Stroke/therapyABSTRACT
Background: Limbic encephalitis is a subacute syndrome characterized by memory impairment, confusion, seizures, hypothalamic dysfunction and psychiatric symptoms. It has been associated to tumors located outside of the central nervous system. In 2007, anti-N-methyl-D-aspartate receptors (NMDAr) antibodies were found in serum and CSF of patients with this particular type of encephalitis. We report a 25-year-old female who, following upper respiratory tract symptoms, developed serious behavioral and consciousness impairment that progressed to coma. Cerebrospinal fluid (CSF) analysis showed a lymphocyte pleocytosis, the electroencephalogram was altered with a slow encephalopathic rhythm and a brain magnetic resonance imaging was normal. Infectious etiologies were ruled out. CSF and serum anti NMDA receptors antibodies were positive.
Subject(s)
Adult , Female , Humans , Antibodies/cerebrospinal fluid , Limbic Encephalitis/diagnosis , N-Methylaspartate/immunology , Receptors, N-Methyl-D-Aspartate/immunology , Limbic Encephalitis/physiopathologyABSTRACT
El glioblastoma multiforme es el más habitual y agresivo de los tumores gliales del sistema nervioso central, sin embargo, infrecuentemente se expresa con lesiones múltiples que pueden definirse como multifocales o multicéntricas, en relación a su origen y capacidad de propagación. Esta presentación intenta analizar las peculiaridades clínicas y los hallazgos imagenológicos de un paciente portador de un glioblastoma multiforme con lesiones supra e infratententoriales, de aparición sincrónica y metacrónica. Llamó la atención en él, que importantes masas tumorales de la protuberancia y mesencéfalo no comprometieran los pares craneales. También fue significativa la visualización en el cuerpo calloso de la propagación selectiva del glioma a través de fibras de conexión. Se concluye que las manifestaciones tanto clínicas como imagenológicas de este paciente son excepcionales por la ausencia de signología esperable por la localización de las múltiples lesiones infra y supratentoriales del tumor, y la visualización del modo de propagación.
Glioblastoma multiforme is the most common and most aggressive glial tumor of central nervous system, however it is infrequently expressed with multiple lesions that can be defined as multifocal or multicentric, relative to their origin, and spread capacity. This presentation makes an effort to analyze clinical peculiarities and radiographic findings of a patient suffering from a glioblastoma multiforme with supra and infratentorial lesions, that appeared synchronic and metachronically. In this case, drew our attention that important tumor masses at pons and midbrain did not compromise cranial nerves. Also, it was significant the visualization at corpus callosum of glioma's selective spreading through connection fibers. It is concluded that both clinical and radiographic manifestations from this patient are exceptional, because of the absence of expected signology from the multiple infra and supratentorial lesions, and the visualization of the way of spreading.
Subject(s)
Humans , Male , Aged , Glioblastoma/diagnosis , Brain Neoplasms/diagnosis , Magnetic Resonance Imaging , Neoplasms, Multiple Primary , Central Nervous System Neoplasms/diagnosis , Paresis/etiologyABSTRACT
Pueden mostrar aumento de anticuerpos anti-GQ1b los síndromes de Miller Fisher, Guillain-Barré con Oftalmoplegia, Rombencefalitis de Bickerstaff y Oftalmoplejia Aguda sin Ataxia, llamadas síndromes anti-GQ1b. Presentamos hombre de 72 años que ingresa por diplopía, oftalmoplejia de instalación aguda y dolor retro-ocular. Tuvo un episodio semejante hace cinco años, recuperado. Al ingreso mostraba oftalmoplejia completa bilateral sin ptosis, miosis y leve enoftalmo del ojo derecho. Potencia muscular conservada, arreflexia osteotendinea, sin compromiso cerebeloso ni sensitivo. LCR y electromiografía normales. RM de cerebro mostraba captación e hiperintensidad (T2) de los pares tercero y sexto. RM de medula espinal no mostró cambio de las raíces espinales. Aumento de GQ1b de 46.2/ 25 en el suero. Mejoró sin tratamiento. Treinta días después, quedaba solo paresia de los sextos pares. El anti-GQ1b es un marcador que identifica las neuropatías con compromiso oculomotor. Las oftalmoplejias agudas sin ataxia tienen reflejos conservados, el 30 por ciento tiene arreflexia. Sólo existen reportes de Síndrome de Guillain-Barré y Miller-Fisher recurrentes con anti-GQ1b. Sería el primer caso descrito de Oftalmoplejia aguda sin ataxia anti-GQ1b, recurrente.
They may exhibit increased anti-GQ1b antibodies in Miller Fisher syndrome, Guillain-Barre syndrome with ophthalmoplegia, Bickerstaff Rhombencephalitis, and Acute Ophthalmoplegia without ataxia , the so called anti-GQ1b syndromes. We report a 72 years old man who was admitted because of diplopia, acute onset ophthalmoplegia and retro-ocular pain. He had a similar episode five years ago, fully recovered. At admission he showed complete bilateral ophthalmoplegia without ptosis, miosis and slight enophthalmos of the right eye. Preserved muscle strength, deep tendon areflexia, without sensory or cerebellar commitment. CSF and electromyography were normal. Brain MRI showed uptake and T2 hyperintensity of the third and sixth cranial nerves. Spinal cord MRI showed no change in the spinal roots. Serum anti-GQ1b increase of 46.2 / 25. He improved without treatment. Thirty days later, paresis was only the sixth pair. The anti-GQ1b is a marker that identifies neuropathies with oculomotor commitment. The acute ophthalmoplegia without ataxia have normal reflex, 30 percent had areflexia. There are only Guillain-Barré and Miller-Fisher syndromes recurrent case reports with anti-GQ1b. It would be the first case of recurrent anti-GQ1b-positive acute ophthalmoplegia without ataxia.
Subject(s)
Humans , Male , Aged , Autoantibodies/blood , Gangliosides/immunology , Ophthalmoplegia/diagnosis , Ophthalmoplegia/immunology , Acute Disease , Biomarkers/blood , Recurrence , Remission, Spontaneous , SyndromeSubject(s)
Autoimmune Diseases/immunology , Urticaria/etiology , Urticaria/immunology , Adolescent , Autoimmune Diseases/diagnosis , Autoimmune Diseases/etiology , Autoimmune Diseases/pathology , Autoimmune Diseases/therapy , Child , Chronic Disease , Humans , Skin Tests/methods , Urticaria/diagnosis , Urticaria/pathology , Urticaria/therapyABSTRACT
The presence of fascioliasis was assessed in four Andean communities using an enzyme-linked immunosorbent assay (ELISA) test to measure antibodies against Fasciola hepatica excretion-secretion antigens. Six percent (9 out of 150) of the individuals in one community were ELISA-positive for these antibodies. Fecal samples from two of the ELISA-positive individuals contained F. hepatica ova. All of the ELISA-positive cases, except for one, were children within the ages of 9 to 12 years.
Subject(s)
Antibodies, Helminth/blood , Fasciola hepatica/immunology , Fascioliasis/epidemiology , Adult , Age Distribution , Animals , Child , Ecuador/epidemiology , Enzyme-Linked Immunosorbent Assay , Fasciola hepatica/isolation & purification , Feces/parasitology , Female , Humans , SheepABSTRACT
The purpose of this work was to compare the efficacy and safety of the collagen-gentamicin sponge with conventional treatment (wound open, maintaining a close observation, and cleaning it daily with antiseptics) for the prophylaxis of infection in "dirty" abdominal wounds. Seventy-three patients with dirty abdominal wounds caused by gastrointestinal tract surgery were studied. The patients were randomized in two groups: group A, open wounds, treated with local cleansing, metronidazole 20 to 40 mg/kg/day IV and gentamicin 5 mg/kg/day IV for 7 days. Group B, primary closure with collagen-gentamicin implant plus metronidazole 20 to 40 mg/kg/day IV for 7 days. Surgical wound infections were significantly reduced by the collagen-gentamicin implant. Polymicrobial infections were observed in group A, whereas the infections were caused only by a single organism in group B. In conclusion, the collagen-gentamicin implant is effective and well tolerated in the treatment of "dirty" surgical abdominal wounds because it significantly reduces the wound infection rate (p < 0.01) and shortens healing time (p < 0.001) and the period of disability.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Collagen/therapeutic use , Gentamicins/therapeutic use , Surgical Wound Infection/drug therapy , Adolescent , Adult , Aged , Anti-Bacterial Agents/administration & dosage , Anti-Infective Agents/therapeutic use , Anti-Infective Agents, Local/administration & dosage , Anti-Infective Agents, Local/therapeutic use , Appendicitis/surgery , Bacterial Infections/diagnosis , Collagen/administration & dosage , Colonic Diseases/surgery , Drug Implants , Female , Gallbladder Diseases/surgery , Gelatin Sponge, Absorbable , Gentamicins/administration & dosage , Humans , Intestinal Perforation/surgery , Male , Metronidazole/therapeutic use , Middle Aged , Povidone-Iodine/administration & dosage , Povidone-Iodine/therapeutic use , Rupture, Spontaneous/surgery , Surgical Wound Infection/microbiology , Wound HealingABSTRACT
In a prospective longitudinal study carried out in the Ginecoobstetric Department of the HGZ 6 Cd. Valles S.L.P., from March 1st to July 15th 1995. One hundred patient were evaluated 24 h after puerperium (in hospital), and 20 and 40 days later at home. With the objective to determine the continuity of lactancy, because all mothers were informed and trained about the benefits of human milk. 31% of the pregnancies were cesarean section and 69% vaginal. A lost of continuity was found in 43% at 20 days and 44% at 40 days. The incidence of respiratory and diarrheic diseases were evaluated with mother milk and artificial formulate (No significant p > 0.5%). The reason for ending the lactancy are cultural and behavior distortion about the benefits of human milk, this is necessary to change to enforce the values of this natural resource.
Subject(s)
Breast Feeding , Postpartum Period , Cultural Characteristics , Female , Folklore , Follow-Up Studies , Humans , Infant, Newborn , Longitudinal Studies , Mexico , Pregnancy , Prospective StudiesABSTRACT
We report 29 new localities with Triatominae in the Republic of México; these Triatominae belong to 8 different species. Infection by Trypanosoma cruzi in the majority of these localities with high rates of positivity was found. Biological observations concerning the collected Triatominae are given. The necessity of continued work in relation to geographical distribution, ecology, frequency of infection by T. cruzy, and the role played by Triatominae of the Republic of México in the transmission of the infection to the man is stressed.
Subject(s)
Triatoma/parasitology , Trypanosoma cruzi/isolation & purification , Animals , Female , Male , Mexico , Triatoma/classificationSubject(s)
Chagas Disease/transmission , Disease Reservoirs , Disease Vectors , Trypanosoma cruzi , Animals , Animals, Domestic/parasitology , Animals, Wild/parasitology , Chagas Disease/prevention & control , Housing , Humans , Mammals/parasitology , Triatominae/parasitology , Trypanosoma cruzi/isolation & purificationSubject(s)
Intestinal Diseases, Parasitic/epidemiology , Adolescent , Female , Humans , Male , Mexico , SchoolsABSTRACT
Se efectuo un estudio de la frecuencia de las parasitosis intestinales en una escuela secundaria ubicada en la Delegacion Ixtacalco en el oriente del Distrito Federal mediante examenes coproparasitoscopicos cuantitativos segun el metodo de Ferreira.Se senalan por medio de cuadros las frecuencias de protozoosis y helmintiasis intestinales encontradas. Se hacen comentarios de los resultados obtenidos
Subject(s)
Humans , Male , Female , Adolescent , Mexico , Intestinal Diseases, Parasitic , Helminthiasis , Protozoan InfectionsSubject(s)
Helminthiasis/epidemiology , Intestinal Diseases, Parasitic/epidemiology , Protozoan Infections/epidemiology , Adolescent , Adult , Aged , Child , Child, Preschool , Feces/parasitology , Female , Humans , Infant , Infant, Newborn , Male , Mexico , Middle AgedABSTRACT
Se realizo un estudio de la frecuencia de las parasitosis intestinales en colonias comprendidas en dos delegaciones del area sur del Distrito Federal por medio de examenes coproparasitoscopicos cualitativos con el metodo de Faust. Se obtuvieron frecuencia de protozoosis y helmintiasis inse senalan en cuadros. Se hacen comentarios de los resultados obtenidos en esta encuesta epidemiologica.encuesta epidemiologica