Valores de referencia del ángulo de balance escapular en población sana / Scapular balance angle reference values in a healthy population

Objetivos. Calcular los valores de referencia del ángulo de balance escapular (ABE) en la población sana entre 18 y 85 años de edad, y definir los criterios muestrales de anormalidad para esta muestra. Materiales y métodos. Se realizó un estudio de tipo descriptivo-transversal en un total de 300 individuos (edad promedio: 44,83; rango: 18-83; proporción mujer/varón: 1,59), calculándose el ABE mediante la medición manual con goniómetro. Se obtuvo un valor de coeficiente de correlación intraclase (CCI) intraobservador de 0,87 y un valor de CCI interobservador de 0,84. Resultados. Los valores para población sana del ABE fueron de 2,505 ± 2,340°. Se define el criterio de anormalidad muestral con un ángulo mayor a 7,185°. Discusión. La medición manual del ABE es una técnica sencilla y reproducible en la práctica clínica diaria para la evaluación general de la posición y la rotación de la escápula. El principal hallazgo de este estudio son los valores de referencia para el ABE y el punto de corte estadístico para definir anormalidad (AU)

Objectives. To calculate the Scapular Balance Angle (SBA) reference values in a healthy population between 18 and 85 years old, and to define abnormality criteria for this sample. Materials and methods. A descriptive study was conducted on a total of 300 individuals (mean age: 44.83, range: 18-83; proportion male/female: 1.59), calculating the SBA through manual measurement with a goniometer. An intraobserver Intraclass Correlation Coefficient (ICC) of 0.87 and a interobserver ICC of 0.84 was observed. Results. The values for the SBA in healthy population were 2.505±2.340°. We define the abnormality criteria for this sample with an angle greater than 7.185°. Discussion. SBA manual measurement is a simple and reproducible assessment of the position and rotation of the scapula in clinical practice. The main findings of this study are the reference values for the SBA and a statistical cut-off to define abnormality (AU)

[Scapular balance angle reference values in a healthy population]. / Valores de referencia del ángulo de balance escapular en población sana.

OBJECTIVES: To calculate the Scapular Balance Angle (SBA) reference values in a healthy population between 18 and 85 years old, and to define abnormality criteria for this sample. MATERIALS AND METHODS: A descriptive study was conducted on a total of 300 individuals (mean age: 44.83, range: 18-83; proportion male/female: 1.59), calculating the SBA through manual measurement with a goniometer. An intraobserver Intraclass Correlation Coefficient (ICC) of 0.87 and a interobserver ICC of 0.84 was observed. RESULTS: The values for the SBA in healthy population were 2.505 ± 2.340°. We define the abnormality criteria for this sample with an angle greater than 7.185°. DISCUSSION: SBA manual measurement is a simple and reproducible assessment of the position and rotation of the scapula in clinical practice. The main findings of this study are the reference values for the SBA and a statistical cut-off to define abnormality.

Evolución penitenciaria de una cohorte de 135 adictos a heroína entre 1985 y 2000 / Prison record evolution of a cohort of 135 heroin addicts (1985-2000)

Objetivo: Este estudio forma parte de un proyecto para estudiar la mortalidad, la morbilidad y la evolución social de los adictos a heroína que iniciaron tratamiento en la década de los ochenta. En concreto describe su historial penitenciario. Método: Estudio longitudinal de una cohorte de 135 adictos a heroína, desde que iniciaron tratamiento en el año 1985 hasta 2000. Para conocer las entradas y salidas de prisión se consultaron el Programa Catalunya y el Programa Sigma. La lista de adictos identificados en el Proyecto EMETYST se cruzó con los 2 programas mediante nombre, apellidos, DNI y fecha de nacimiento. Resultados: Durante los 15 años de seguimiento, 57 personas (42,2 por ciento) ingresaron como mínimo una vez en prisión. El año en que se produjeron más primeros ingresos fue 1986. El último primer ingreso data del año 1995. El número total de ingresos realizados fue de 146. El 31 de diciembre de 1991 el 23 por ciento del total de la cohorte estaba recluida en prisión. El conjunto de la cohorte permaneció 34.581 días en prisión. Conclusiones: El linkage o cruzamiento de registros oficiales se ha mostrado eficiente, fiable, sensible y comparable. La adicción a heroína tiene un coste social muy alto. Las consecuencias legales disminuyen con el paso del tiempo, lo que permite suponer un proceso de maduración. Los adictos tienen más posibilidades de volver a prisión que los reclusos no adictos. Muchos de ellos consiguen mantenerse al margen de la marginalización que representa el ingreso en prisión (AU)

[Quality assessment of the public water supply in Nova Iguaçu, Rio de Janeiro]. / Avaliação da qualidade de água para abastecimento público do Município de Nova Iguaçu.

This study proposes to develop methodologies for public water supply quality control by implementing evaluation and control mechanisms and enhancing environmental health surveillance decision-making. These objectives were based on data for waterborne diseases recorded at the Rio de Janeiro State Health Department. We selected the following neighborhoods: Posse (1st Township) and Caioaba (5th Township), with dissimilar situations, allowing us to produce a model of water supply coverage in the Municipality of Nova Iguaçu, Rio de Janeiro State. The study underscored the poor quality of the water supply in the two townships, since 61% of the samples were positive on bacteriological examination, showing the undesirable effects of differential sanitation, especially in developing countries.

[Acute fulminating hepatitis non-A non-B in pregnancy: a clinical case of probable sporadic hepatitis caused by E virus]. / Hepatitis aguda fulminante no A no B en el embarazo: un caso clínico de probable hepatitis esporádica producida por virus E.

The extreme severity of hepatitis E in the pregnant patient results a high maternal and fetal mortality in fulminating acute hepatitis. We present a clinical case of a 19 years old primigesta, 29 weeks pregnant, diagnosted as suffering from Acute Fulminating Hepatitis non A non B, probably E. The fetus died and liver transplant was contemplated for the patient due to the severity of disease. Liver transplant could not be carried out for lack of a suitable donor. The patient died 16 days after admission. The pathology report showed massive hepatic necrosis and terminal shock.

Permeability of the human round-window membrane to cationic ferritin.

An ultrastructural study was done in three sequential steps to determine if the human round-window membrane was permeable to macromolecules. Cationic ferritin was first placed for one hour in the round-window niche of two live rhesus monkeys. The same tracer was then placed in the same manner in two rhesus monkeys that had been dead for one hour. In both groups, cationic ferritin was observed to traverse the round-window membrane through pinocytotic vesicles into the scala tympani. After establishing that the transport capabilities of the round-window membrane of the monkey remained present one hour after death, cationic ferritin was placed for one hour in the round-window niche of two humans who had been dead for 30 minutes and one hour. The tracer was observed to traverse the round-window membrane through pinocytotic vesicles into the scala tympani in both humans. This report may be the first to document morphologically the permeability of human round-window membranes to macromolecules.

[Torsion of the uterine tubes]. / Torsión de trompa uterina.

Gynecologic pathology in premenarchal girls is infrequent, although torsion of adnexa is a pathology well recognized. Very little has been written on torsion of previously healthy adnexa. Since the diagnosis can be difficult and confussing due to its resemblance with many other pathologic conditions, it is purpose of this paper to report a case the treated in our hospital. The importance of an early diagnosis is stressed in order to avoid loss of the adnexa and a brief review of the literature is made. To our knowledge, this is the first case reported in Mexico.

[Ovarian pregnancy in a user of the lippes loop (clinical case)]. / Embarazo ovárico en esuaria de asa de Lippes (caso clínico).

PIP: Ovarian pregnancy is the rarest of all ectopic pregnancy, occurring in about 0.5% of all cases. This article describes 1 such case, in a 24 year old healthy, multiparous woman. The woman, wearer of a Lippes Loop, was hospitalized for pregnancy with IUD in situ. Diagnosis was done through echography, which clearly showed the IUD, laparoscopy and finally laparotomy, which showed a very much enlarged right ovary. Right oophorectomy was performed and the patient recovered promptly. Histological examination of the resected ovary confirmed the presence of an ovarian pregnancy. The article stresses the importance of correct diagnosis in all cases of ectopic pregnancy.^ieng