Prevalencia e Incidencia de Síndrome de Down en los Certificados Médicos Oficiales / 9 DESCRIPTIVE STUDY ON PREVALENCE AND INCIDENCE OF DOWN SYNDROME IN OFFICIAL MEDICAL CERTIFICATES

Estudio descriptivo sobre la prevalencia e incidencia de Síndrome de Down en los Certificados Médicos Oficiales firmados en nuestro servicio en el período comprendido entre los años 2017- 2019, la prevalencia de cardiopatías congénitas en los mismos y la prevalencia de nacimientos con esta anomalía genética en nuestro hospital. Comparación con estadística nacional e internacional

Descriptive study on prevalence and incidence in Down Syndrome in the Official Medical Certificates signed by our service between years 2017-2019, the prevalence of con genital heart disease on these and the prevalence of birth with this genetic anomaly on our hospital. National and International comparison of statistics

Renovación de las Pensiones Asistenciales No Contributivas en el año 2019 / 3 RENOVATION OF NON-CONTRIBUTIVE PENSIONS FROM THE YEAR 2019

Estudio Descriptivo. Análisis y comparación de las características de la población que concurrió al Servicio de Medicina Legal del Hospital Nacional A. Posadas, a renovar sus pensiones asistenciales a través de la confección del Certificado Médico Oficial Digital, en el año 2019, y comparándolas con las renovaciones a nivel nacional ocurridas en el año 2014

Descriptive Study. Analysis and comparison of the population´s characteristics who concur to the Legal Medicine Service at the National Hospital A. Posadas, to renovate their welfare pensions through the confection of the Digital Official Medical Certificate, year 2019, and comparing them with the national renovations which happened in 2014

Analysis of Adherence to Antihypertensive Drug Treatment in an Argentinean Cohort

Abstract Background Adherence to antihypertensive medication is a major challenge in the management of hypertension, and non-adherence is an important barrier to effective management of hypertension. Objectives To determine the adherence rate to hypertensive drug treatment and the factors that influence non-adherence in a cohort of the Argentinean population. Methods A multicenter cross-sectional study was conducted in eight cities of Argentina. Consecutive hypertensive patients seen in general practice offices, receiving pharmacological treatment for at least six months were included. Blood pressure measurements were performed by physicians during the patient visit. The level of adherence was assessed using the Morisky questionnaire, and patients were divided into non-adherent and adherent. Continuous variables were compared using independent t-test. Categorical variables were compared using the χ2 test. To identify the variables independently associated with non-adherence, a forward stepwise binary regression logistic model was performed, and the results expressed as odds ratio (OR) with 95% of confidence interval. All tests were two-tailed, and p-values < 0.05 were considered statistically significant. Results A total of 852 individuals (52% women, 62 ± 13 years) were included. The main reason for lack of adherence was forgetfulness of medication intake and errors in the time of intake (~ 40% in both). Individuals with more cardiovascular risk factors (smoking, diabetes, dyslipidemia and previous cardiovascular events) had lower adherence to antihypertensive treatment, and considerably younger (~ five years younger). Conclusions Adherence rate to antihypertensive drug treatment in our study group was higher than the one reported in previous studies, and the main reason for non-adherence was forgetfulness of medication intake. (Int J Cardiovasc Sci. 2020; 33(3):272-277)

Adherence to antihypertensive drug treatment in Argentina: A multicenter study.

Adherence to antihypertensive medication is an important challenge that doctors often face in the treatment of hypertension. Good adherence is crucial to prevent cardiovascular complications. In consequence, the present study aimed at determining the prevalence of adherence to antihypertensive treatment and identifying associated clinical variables. A multicenter cross-sectional study was conducted in 12 cities of Argentina. A systematic sampling was performed in order to select patients with hypertension and under pharmacological treatment for at least 6 months. Physicians took three BP measurements, and the level of adherence was assessed using the self-administered Morisky questionnaire (MMAS-8). Participants were classified into three levels of adherence: high adherence-MMAS score of 8; medium adherence-MMAS scores of 6 to <8; and low adherence-MMAS scores of <6. A total of 1111 individuals (62 ± 12 years old, women 49.4%) were included in the present analysis; 159 (14.3%), 329 (29.6%) and 623 (56.1%) patients had low, medium, and high adherence, respectively. The prevalence of controlled hypertension increased only in high adherent patients: 42.8%, 42.2%, and 64.5% for low, medium, and high adherence groups, respectively. Similarly, systolic BP was lower only in the high adherence group. High educational level (OR 3.47, 95% CI 2.68-4.49) and diuretic treatment (OR 0.64, 95% CI 0.47-0.88) were independent predictors of high adherence. In conclusion, more than a half of treated hypertensive patients had a high level of adherence. These patients had lower BP values and higher control levels. A high educational level predicts high adherence.

Prevención Médico-Legal: Aplicación de la Matriz Foda a la Historia Clínica / Medico-Legal pervention of the SWOT (Strengths, Weaknesses, Opportunities, Threats) matrix to the clinic history

SWOT matrix is a strategic planning technique used to help to identify strengths, weaknesses, opportunities and threats related to project planning. SWOT matrx has been described as the tried-and-true tool for strategic analysis. Application of the SWOT matrix to the clinic history for its medico-legal evaluation, is referred