ABSTRACT
Rural Mexican immigrant women in the U.S. are infrequently screened and experience health disparities from cervical cancer. We explored cancer-related cultural beliefs in this population. We administered a cross-sectional survey to 39 Mexican immigrant women due for screening. We conducted univariate and bivariate analyses of participants' characteristics, Pap test history, cancer-related knowledge and beliefs, and cultural consensus analysis about causes of cervical cancer and barriers to screening. For all the cultural consensus tasks, there was consensus (Eigenratios >3:1) among survey participants. Comparing the rankings of risk factor clusters, clusters related to sexual behaviors were ranked more severely than clusters related to genetic or other behavioral factors. There was agreement on ideas of cervical cancer causation and barriers to screening among these women. Hence, improved methods of disseminating important health information and greater access to care are needed, particularly in relationship to stigma about sex and birth control practices.
Subject(s)
Emigrants and Immigrants , Health Knowledge, Attitudes, Practice/ethnology , Mexican Americans , Uterine Cervical Neoplasms/ethnology , Adult , Cross-Sectional Studies , Female , Georgia , Humans , Middle Aged , Risk Factors , Surveys and Questionnaires , Young AdultABSTRACT
Obtener datos epidemiológicos de lasamigdalectomías realizadas durante dos años quirúrgicos en el Hospital Nacional de Clínicas. Valorar la incidencia entre la técnica quirúrgica empleada y el gradode dolor postoperatorio. Relacionar la técnica quirúrgica con el dolor postoperatorio y la incorporación de ladieta.Material y método: Se realizó un estudioprospectivo, utilzando el método estadístico, que incluyó a 10 pacientes de ambos sexos, de 14 a 56 años deedad, amigdalectomizados en el Hospital Nacional de Clínicas de Córdoba -Argentina -con técnica de Danielso decolación y utilzación de Ansa, en el periodo comprendido entre marzo del 2010 y abril del 2012.
Get epidemiological data oftonsilectomy surgery performed for two years in theNational Clinical Hospital.Ases whether there is arelationship betwen surgical technique and the degreof postoperative pain. Relate surgical technique with thereturn of the diet.Materials and methods A prospective study wasperformed using the statistical method, which included10 patients of both sexes aged 14 to 56 years old,tonsilectomy in the National Clinical Hospital of Cordoba- Argentina, with Daniels technique, or parietal peritoneumand using Ansa ,in the period betwen March 2010 and April 2012.
Subject(s)
Humans , Male , Female , Pain , Tonsillectomy , Tonsillectomy/rehabilitation , Tonsillitis/surgeryABSTRACT
Obtener datos epidemiológicos de lasamigdalectomías realizadas durante dos años quirúrgicos en el Hospital Nacional de Clínicas. Valorar la incidencia entre la técnica quirúrgica empleada y el gradode dolor postoperatorio. Relacionar la técnica quirúrgica con el dolor postoperatorio y la incorporación de ladieta.Material y método: Se realizó un estudioprospectivo, utilzando el método estadístico, que incluyó a 10 pacientes de ambos sexos, de 14 a 56 años deedad, amigdalectomizados en el Hospital Nacional de Clínicas de Córdoba -Argentina -con técnica de Danielso decolación y utilzación de Ansa, en el periodo comprendido entre marzo del 2010 y abril del 2012.(AU)
Get epidemiological data oftonsilectomy surgery performed for two years in theNational Clinical Hospital.Ases whether there is arelationship betwen surgical technique and the degreof postoperative pain. Relate surgical technique with thereturn of the diet.Materials and methods A prospective study wasperformed using the statistical method, which included10 patients of both sexes aged 14 to 56 years old,tonsilectomy in the National Clinical Hospital of Cordoba- Argentina, with Daniels technique, or parietal peritoneumand using Ansa ,in the period betwen March 2010 and April 2012.(AU)
Subject(s)
Humans , Male , Female , Tonsillitis/surgery , Tonsillectomy , Tonsillectomy/rehabilitation , PainABSTRACT
Intra-articular injuries are common after dislocation and fracture of the hip joint and can be addressed using hip arthroscopy. The most common indications for this procedure are loose bodies, labral tears and chondral defects. In addition, preexisting femoroacetabular impingement can be addressed at the time of surgery. Arthroscopically guided fracture reduction and fixation has been described. We present two case reports of intra-articular lesions after traumatic hip dislocation. The first is a case of a man with an anterior labral tear and loose bodies after closed hip reduction. The second case is a man with a large anterior labral tear with preexisting femoroacetabular impingement. Both of them were treated by arthroscopic debridement of the unstable labrum. In addition loose bodies were removed in the first patient and a femoral osteoplasty was performed in the second patient. Hip arthroscopy has proven to be a safe and effective surgical technique for treating specific post-traumatic lesions and preexisting femoroacetabular impingement. The current case reports provide an overview of the indication for hip arthroscopy following traumatic injuries to the hip.
Subject(s)
Arthroscopy/instrumentation , Arthroscopy/methods , Femoracetabular Impingement/etiology , Femoracetabular Impingement/surgery , Femoral Fractures/complications , Femoral Fractures/surgery , Adult , Hip Dislocation , Humans , Male , Treatment OutcomeABSTRACT
We present the clinical case of an 18-year-old woman who complained of acute hip pain. MRI showed an intra-articular tumor 4 cm in size with osteolysis (18 mm) on the distal region of the femoral head-neck junction. Focal pigmented villonodular synovitis infiltrating the bone was diagnosed. A complete resection of the tumor including the osteolytic area was done by an arthroscopic procedure. There was no sign of relapse after 8 months of follow-up, with no pain and complete function of the hip. Arthroscopic treatment has the advantage of minimal surgical trauma and good mid-term results for treating a focal lesion in selected cases.
Subject(s)
Arthroscopy/methods , Hip Joint/surgery , Synovitis, Pigmented Villonodular/surgery , Adolescent , Female , Femur Head/pathology , Femur Head/surgery , Femur Neck/pathology , Femur Neck/surgery , Follow-Up Studies , Hip Joint/pathology , Humans , Magnetic Resonance Imaging , Osteolysis/diagnosis , Osteolysis/surgery , Synovitis, Pigmented Villonodular/diagnosisABSTRACT
El Grupo de Investigación Historia , Enseñanza y Profesionalización de la Psicología en los países del Cono Sur de la UNMP desarrolla actualmente el proyecto Antecedentes de los estudios psicológicos en Mar del Plata y prospectiva en el marco de la psicología como profesión regulada, representando este trabajo un avance del mismo. En una primera etapa se atendió, especialmente, a indagar el período preuniversitario en el que se impartió en Mar del Plata, Argentina, formación psicológica en estudios sistemáticos. En tal sentido, se reconocen como antecedentes al Instituto de Pedagogía [ISP], uno de los cinco creados en 1949 en la Provincia de Buenos Aires bajo el gobierno peronista, y al Instituto Superior de Ciencias de la Educación [ISCE] que funcionó desde 1960 y hasta la creación del grado académico en la UPMP, en 1966. Estos Institutos formaban recursos humanos destinados al ámbito educativo, siendo el ISCE la institución otorgante de las primeras titulaciones específicas en Psicología. El presente trabajo se centra en esta última institución, e intenta indagar las razones que propiciaron el viraje del énfasis educativo al clínico en la formación de sus alumnos y posterior inserción laboral de sus egresados, incluyendo el análisis de testimonios orales de sus protagonistas.
Subject(s)
Humans , Universities , Psychology/history , ArgentinaABSTRACT
Duvernoy's gland secretion of Philodryas patagoniensis exhibits high hemorrhagic activity, containing enzymes that are able to degrade the vascular wall. In this work we aim to determine if the secretion can also affect the hemostatic system by causing changes in blood coagulation. Procoagulant and coagulant activities were evaluated on plasma and fibrinogen, respectively. The delay in the thrombin clotting time of fibrinogen previously incubated with the secretion was also determined. Specific hydrolysis of fibrinogen and fibrin incubated with the secretion at different time intervals was shown by electrophoresis on polyacrylamide gel. To determine the structural characteristics of the enzymes degrading fibrinogen and fibrin, secretion were incubated in the presence of 45 mM Na(2)EDTA, 40 mM Benzamidine, and/or 2 mM PMSF before the incubation with fibrinogen or fibrin, respectively. The effect in vivo was investigated in adult male rats injected with different dose of secretion, aliquots of blood were withdrawn at different time intervals, and the fibrinogen concentration was determined. Duvernoy's gland secretion of P. patagoniensis did not clot plasma or fibrinogen. It exhibited a potent fibrinogenolytic activity degrading the Aalpha-chain faster than the Bbeta-chain, whereas gamma-chain was resistant. This latter corresponded with a strong delay in the thrombin clotting time of fibrinogen (4 mg/ml) pre-incubated with the secretion, being 9.53 microg the amount of protein from Duvernoy's gland secretion that increased the thrombin clotting time from 20 to 60 s. In vivo, the loss of rat plasma fibrinogen was proportional to the amount of secretion injected. The secretion also hydrolyzed fibrin degrading the alpha-monomer. Inhibition studies with Na(2)EDTA, Benzamidine, and/or PMSF showed that metalloproteinases and serinoproteinases are the main enzymes responsible for the hydrolyzing activity on fibrinogen and fibrin. All these results demonstrate that Duvernoy's gland secretion of P. patagoniensis possesses enzymes able to hydrolyze plasma components playing a relevant role in the blood coagulation. These hydrolyzing activities and those acting on the wall of blood vessels let the secretion exhibit a high hemorrhagic activity, which may result in permanent sequelae or even cause the death of the victims bitten by this colubrid snake.
Subject(s)
Blood Coagulation/drug effects , Colubridae , Exocrine Glands/metabolism , Snake Venoms/toxicity , Analysis of Variance , Animals , Argentina , Electrophoresis, Polyacrylamide Gel , Fibrinogen/drug effects , Fibrinogen/metabolism , Male , Rats , Rats, Sprague-Dawley , Snake Venoms/enzymology , Snake Venoms/metabolism , Thrombin/drug effects , Thrombin/metabolism , Time FactorsABSTRACT
Among children referred to our genetic clinics for mental or growth retardation we identified 8 of their mothers with the fetal alcohol syndrome. This was complete in 5 and partial in 3. All of their alcoholic mothers had died. Most of the patients were unwed mothers with mental retardation and no elementary education. One of them was also alcoholic and her third offspring had the syndrome. The etiology of this syndrome and possible preventive measures are discussed.
Subject(s)
Family Health , Fetal Alcohol Spectrum Disorders/complications , Mothers , Adult , Child , Child, Preschool , Chile , Developmental Disabilities/etiology , Female , Growth Disorders/etiology , Humans , Intellectual Disability/etiology , Pregnancy , Psychomotor Disorders/etiologyABSTRACT
In order to analyse the etiology of recurrent hematuria in childhood, we studied 250 children, referred to our Service (age: 6 mo-17 ys; 102 female and 148 male). They were submitted to the following protocol: urine analyses, uroculture, serum total and fraction complement, electrophoresis of hemoglobin, serum creatinine, BUN, 24h urinary calcium, uric acid and protein, oral calcium load test in children with hypercalciuria (UCa greater than 4mg/kg/day). Radiological evaluation and renal percutaneous biopsy was performed when necessary. The following diagnostic distribution was obtained: Alport syndrome, 19; Berger disease, 15; other glomerulopathies, 45; hypercalciuria, 67; uric acid hyperexcretion, 10; nephrolithiasis, 27; urinary tract infection, 14; renal malformation, 8; no diagnosis, 43. Based in these results, we conclude that appropriate investigation on recurrent hematuria, leads to determination of etiology in over 80% of cases.