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1.
Patient Educ Couns ; 2020 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-33268230

RESUMO

OBJECTIVE: To assess the factors associated with the persistence of clinician-led style in the therapeutic relationship in cases of serious mental illness, and the conditioning factors that the patients identify as determinants of their health. METHOD: Assessment of preferences in the decision-making process and health-related control locus of 107 outpatients with DSM-5 diagnosis of schizophrenia or bipolar disorder. Demographic and clinical information was also obtained through review of available records and using several scales. RESULTS: 64.4 % patients preferred to adopt a passive role in the therapeutic relationship. In the multivariate analysis, the preference of playing a passive role in the decision-making process was significantly associated with the elderly, being disabled, or the view that one's health depends on doctors (AUC ROC value: 0.80). CONCLUSIONS: Patients with severe mental illness more frequently preferred a passive role in the decision-making process. We found several factors associated with a preference for the "expert role" model. PRACTICE IMPLICATIONS: The identified factors may permit care to be tailored to the most probable expectations as regard decision-making. Since the populations concerned may be vulnerable and suffer inequalities in the provision of health services, promoting participation in the care process could help improve clinical parameters ethically.

2.
Rev. Fac. Med. (Guatemala) ; 1(25 Segunda Época): 48-54, Jun - Dic 2018.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1128254

RESUMO

Introducción: Los hemangiomas son tumores vasculares benignos comunes en la infancia y son causa de preocupación por la familia debido a sus localizaciones cuando son visibles por razones estéticas. Objetivos: Conocer la prevalencia y caracterización de hemangiomas, así como la frecuencia del género, edad media diagnosticada y el método diagnóstico usado y el tratamiento establecido. Métodos: La muestra del estudio constituida por 71 pacientes del Área Pediátrica del Instituto de Dermatología y Cirugía de Piel durante el año 2017. Es un estudio transversal retrospectivo en el cual incluye pacientes pediátricos con diagnóstico de hemangioma. Resultados: La prevalencia de hemangiomas fue del 0.77%, más frecuente en niñas y una edad media al diagnóstico de 8.28 meses. La mayoría de característica superficial y focal. La localización anatómica más frecuente en cabeza y rostro. El diagnóstico se realizó clínicamente y el tratamiento utilizado prevaleció la terapia farmacológica. Conclusiones: Se estableció una prevalencia de 0.77% de hemangiomas pediátricos, siendo los más frecuentes de característica superficial y focal, la mayoría en cabeza y rostro. El diagnóstico fue clínico y el tratamiento fue principalmente farmacológico. Palabras clave: Prevalencia, hemangiomas pediátricos, caracterización.


Introduction: Hemangiomas are benign vascular tumors common in childhood but with a burden of family concern from the esthetic point of view. Objectives: To know the prevalence and characterization of hemangiomas, frequency of gender, average age for diagnosis, method used for diagnosis, as well as its treatment. Methods: Retrospective cross-sectional study in pediatric patients with a diagnosis of hemangioma, diagnosed at the Institute of Dermatology and Skin Surgery during the year 2017. Results: A total of 71 patients included, with a prevalence of 0.77% in the area of pediatric dermatology. A difference was established being more frequent in girls with a median age for diagnosis of 8.28 months. Hemangiomas were more common superficial type and with focal characteristic being most frequently located in head and face. Clinically diagnosed, the majority treated pharmacologically. Conclusions: A prevalence of 0.77% of hemangiomas found, mostly superficial and focal with location in head and face. The diagnosis was mainly clinical and the treatment was mostly pharmacological. Key words: Prevalence, pediatric hemangiomas, characterization

3.
Rev Inst Med Trop Sao Paulo ; 57(1): 73-6, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25651329

RESUMO

With the aim of studying the contamination of soils with eggs of Toxocara spp. in an arid area in the central-western region of Argentina, 76 soil samples were collected from 18 towns belonging to six provinces of central-western Argentina. They were processed by the centrifugal flotation method. No eggs of Toxocara spp. were found. It can be concluded that the negative results are directly related to the characteristics of the environment and climate present in the studied area. The finding of eggs in soils depends on several factors: the presence of canine or feline feces, the hygienic behavior of pet owners, the presence of stray animals without veterinary supervision, the weather and environmental conditions, and laboratory techniques used; and all these circumstances must be considered when comparing the results found in different geographical regions. In order to accurately define the importance of public spaces in the transmission of infection to humans, it is important to consider the role of backyards or green spaces around housing in small towns, where the population is not used to walking pets in public spaces, and in such cases a significant fraction of the population may acquire the infection within households.


Assuntos
Fezes/parasitologia , Contagem de Ovos de Parasitas , Solo/parasitologia , Toxocara/isolamento & purificação , Animais , Argentina , Gatos , Cães , Humanos
4.
Rev. Inst. Med. Trop. Säo Paulo ; 57(1): 73-76, Jan-Feb/2015. tab, graf
Artigo em Inglês | LILACS | ID: lil-736360

RESUMO

With the aim of studying the contamination of soils with eggs of Toxocara spp. in an arid area in the central-western region of Argentina, 76 soil samples were collected from 18 towns belonging to six provinces of central-western Argentina. They were processed by the centrifugal flotation method. No eggs of Toxocara spp. were found. It can be concluded that the negative results are directly related to the characteristics of the environment and climate present in the studied area. The finding of eggs in soils depends on several factors: the presence of canine or feline feces, the hygienic behavior of pet owners, the presence of stray animals without veterinary supervision, the weather and environmental conditions, and laboratory techniques used; and all these circumstances must be considered when comparing the results found in different geographical regions. In order to accurately define the importance of public spaces in the transmission of infection to humans, it is important to consider the role of backyards or green spaces around housing in small towns, where the population is not used to walking pets in public spaces, and in such cases a significant fraction of the population may acquire the infection within households.


Con el objetivo de estudiar la contaminación de los suelos con huevos de Toxocara spp, se obtuvieron 76 muestras de suelo de 18 pueblos pertenecientes a 6 provincias del centro-oeste de Argentina. Las muestras fueron procesadas por el método de centrifugación-flotación. No se encontraron huevos de Toxocara spp. en ninguna de las muestras de suelo. Llegamos a la conclusión de que los resultados negativos podrían estar en relación directa con las características ambientales y climáticas presentes en el área estudiada. El hallazgo o no de huevos en el suelo depende de varios factores: la presencia de heces de caninos o felinos, el comportamiento de los dueños de mascotas, la presencia de animales abandonados y sin control veterinario, las condiciones climáticas y ambientales y las técnicas de laboratorio utilizadas. Todas estas circunstancias deben ser consideradas cuando se comparan los resultados encontrados en diferentes regiones geográficas. Con el fin de definir la importancia que tienen los espacios públicos en la transmisión de la infección a los humanos, se debería considerar el papel que tienen los patios y veredas de las viviendas en las ciudades pequeñas, donde la población no acostumbra a pasear mascotas en parques y plazas, y en esos casos, la población puede adquirir la infección dentro de los hogares.


Assuntos
Animais , Gatos , Cães , Humanos , Fezes/parasitologia , Contagem de Ovos de Parasitas , Solo/parasitologia , Toxocara/isolamento & purificação , Argentina
6.
Nutr Hosp ; 30(5): 1160-4, 2014 Nov 01.
Artigo em Espanhol | MEDLINE | ID: mdl-25365022

RESUMO

In magnetic resonance, fat is considered an "unwanted artifact or signal" which is suppressed when performing a clinical study, unless otherwise specified. The increase in obesity and associated diseases has become necessary to study fat deposits both in adipose tissue and ectopic fat. In this paper, we analyze the information that is available from the CD which patients receive after undergoing magnetic resonance imaging of the abdomen along with the medical report, using a personal computer, focusing on the fat deposits in spinal muscles of healthy adult volunteers or analyzes nonspecific low back pain. The application of colored interfaces or windows on gray resonance images is very useful to display fat deposits, especially when the observer is not familiar with these images. It is a fast, easy and intuitive method of semiquantitative muscle visualization of the ectopic fat.


Assuntos
Tecido Adiposo/anatomia & histologia , Região Lombossacral , Músculo Esquelético/anatomia & histologia , Tecido Adiposo/química , Adulto , Artefatos , Humanos , Interpretação de Imagem Assistida por Computador , Imagem por Ressonância Magnética , Músculo Esquelético/química , Tronco
7.
Nutr. hosp ; 30(5): 1160-1164, nov. 2014. ilus
Artigo em Espanhol | IBECS | ID: ibc-132324

RESUMO

En resonancia magnética, la grasa se considera un «artefacto o señal no deseada» que se suprime al realizar un estudio clínico, salvo especificación. El aumento de la obesidad y enfermedades asociadas ha hecho necesario estudiar los depósitos de grasa, tanto en tejido adiposo como de grasa ectópica. En el presente trabajo se analiza la información que en cualquier ordenador personal se puede obtener del CD que los pacientes reciben junto con el informe médico tras someterse a una resonancia magnética de abdomen, centrándonos en los depósitos grasos en músculos espinales de voluntarios adultos sanos o con dolor lumbar inespecífico La aplicación de interfaces o ventanas coloreadas a imágenes de resonancia en tonos grises es muy útil para visualizar depósitos grasos, especialmente para observadores no familiarizados con dichas imágenes. Es un método rápido, fácil e intuitivo de visualización semicuantitativa de grasa ectópica muscular (AU)


In magnetic resonance, fat is considered an «unwanted artifact or signal» which is suppressed when performing a clinical study, unless otherwise specified. The increase in obesity and associated diseases has become necessary to study fat deposits both in adipose tissue and ectopic fat. In this paper, we analyze the information that is available from the CD which patients receive after undergoing magnetic resonance imaging of the abdomen along with the medical report, using a personal computer, focusing on the fat deposits in spinal muscles of healthy adult volunteers or analyzes nonspecific low back pain. The application of colored interfaces or windows on gray resonance images is very useful to display fat deposits, especially when the observer is not familiar with these images. It is a fast, easy and intuitive method of semiquantitative muscle visualization of the ectopic fat (AU)


Assuntos
Humanos , Masculino , Feminino , Dor Lombar/complicações , Dor Lombar/diagnóstico , Músculos do Dorso/anormalidades , Músculos do Dorso/lesões , Tecido Adiposo/anormalidades , Tecido Adiposo/citologia , Espectroscopia de Ressonância Magnética , Espectroscopia de Ressonância Magnética/métodos , Dor Lombar/patologia , Dor Lombar , Músculos do Dorso/fisiopatologia , Tecido Adiposo/enzimologia , Tecido Adiposo/patologia , Espectroscopia de Ressonância Magnética/instrumentação , Espectroscopia de Ressonância Magnética/uso terapêutico
8.
Rev. cuba. med. gen. integr ; 30(1): 103-112, ene.-mar. 2014.
Artigo em Espanhol | LILACS | ID: lil-717198

RESUMO

Introducción: la hipertensión arterial constituye un factor de riesgo para otras enfermedades, el cual no solo es determinado por las cifras tensionales si no por la aparición de otros factores de riesgo. Objetivo: identificar la relación de los principales factores de riesgo con la aparición de daño en órganos diana en la población hipertensa del consultorio 5 del área de salud de Rodas. Métodos: se realizó un estudio descriptivo de correlación. Para ello se encuestaron 324 pacientes que cumplieron los criterios de inclusión. Se analizaron variables como: sexo, edad, color de la piel, estado nutricional, valores de colesterol, triglicéridos, glicemia y daño en órganos diana. Se utilizó el SPSS. Los resultados se expresaron en tablas. Resultados: hubo un ligero predominio del sexo femenino 51,9 por ciento, además de un incremento proporcional de la hipertensión arterial y la edad de los pacientes, así como el predominio de los pacientes blancos 75,9 por ciento. La población estudiada tiende al sobrepeso IMC de 26.9 Desv típ. 3,53 kg/m2, además de presentar valores promedios de colesterol de 5,08 Desv típ 1,05 mmol/l y triglicéridos de 2,09 Desv típ 0,84 mmol/l, los valores de glucemia en sangre venosa fueron de 5,5 mmol/l Desv típ 1,22 mmol/l. El incremento de la edad, el sobrepeso, así como de los valores de glucemia, colesterol y triglicéridos se asocian con la aparición de daño en órganos diana V de Cramer 0,21; 0,97; 0,92; 0,99; 0,94. todos mayores que el nivel de significación. Conclusiones: los factores de riesgos encontrados, en su mayoría, incrementaron el riesgo de presentar daño en órganos diana de los pacientes estudiados...


Introduction: hypertension is a risk factor for other diseases, which is not only determined by the blood pressure but by the emergence of other risk factors. Objective: to identify the relationship of the major risk factors to the occurrence of target organ damage in hypertensive clinic population at health area 5 in Rodas. Methods: a descriptive correlation study was performed. 324 patients who met the inclusion criteria were interviewed. Sex, age, skin color, nutritional status, cholesterol levels, triglycerides, glucose, and target organ damage were the variables analyzed. SPSS was used. The results are shown in tables. Results: there was a slight female predominance 51.9 percent, a proportional increase in blood pressure and patient age, predominance of white patients 75.9 percent. The population studied tend to be overweight BMI of 26.9 Std Dev. 3.53 kg/m2 plus presenting cholesterol mean values of 5.08 1.05 Std Dev mmol / l triglycerides 0.84 2.09 Std Dev mmol / l, blood glucose was 5.5 mmol / l Std Dev 1.22 mmol / l. Increasing age, overweight, as well as blood glucose, cholesterol ,and triglycerides are associated with the appearance of target organ damage Cramer V 0.21, 0.97, 0.92, 0.99; 0.94. all greater than the level of significance. Conclusions: risk factors found, mostly, increased the risk of target organ damage in the patients studied...


Assuntos
Humanos , Masculino , Feminino , Hipertensão/complicações , Impactos na Saúde , Fatores de Risco , Epidemiologia Descritiva
9.
Rev. cuba. med. gen. integr ; 30(1): 103-112, ene.-mar. 2014. tab
Artigo em Espanhol | CUMED | ID: cum-60819

RESUMO

Introducción: la hipertensión arterial constituye un factor de riesgo para otras enfermedades, el cual no solo es determinado por las cifras tensionales si no por la aparición de otros factores de riesgo. Objetivo: identificar la relación de los principales factores de riesgo con la aparición de daño en órganos diana en la población hipertensa del consultorio 5 del área de salud de Rodas. Métodos: se realizó un estudio descriptivo de correlación. Para ello se encuestaron 324 pacientes que cumplieron los criterios de inclusión. Se analizaron variables como: sexo, edad, color de la piel, estado nutricional, valores de colesterol, triglicéridos, glicemia y daño en órganos diana. Se utilizó el SPSS. Los resultados se expresaron en tablas. Resultados: hubo un ligero predominio del sexo femenino 51,9 por ciento, además de un incremento proporcional de la hipertensión arterial y la edad de los pacientes, así como el predominio de los pacientes blancos 75,9 por ciento. La población estudiada tiende al sobrepeso IMC de 26.9 Desv típ. 3,53 kg/m2, además de presentar valores promedios de colesterol de 5,08 Desv típ 1,05 mmol/l y triglicéridos de 2,09 Desv típ 0,84 mmol/l, los valores de glucemia en sangre venosa fueron de 5,5 mmol/l Desv típ 1,22 mmol/l. El incremento de la edad, el sobrepeso, así como de los valores de glucemia, colesterol y triglicéridos se asocian con la aparición de daño en órganos diana V de Cramer 0,21; 0,97; 0,92; 0,99; 0,94. todos mayores que el nivel de significación. Conclusiones: los factores de riesgos encontrados, en su mayoría, incrementaron el riesgo de presentar daño en órganos diana de los pacientes estudiados(AU)


Introduction: hypertension is a risk factor for other diseases, which is not only determined by the blood pressure but by the emergence of other risk factors. Objective: to identify the relationship of the major risk factors to the occurrence of target organ damage in hypertensive clinic population at health area 5 in Rodas. Methods: a descriptive correlation study was performed. 324 patients who met the inclusion criteria were interviewed. Sex, age, skin color, nutritional status, cholesterol levels, triglycerides, glucose, and target organ damage were the variables analyzed. SPSS was used. The results are shown in tables. Results: there was a slight female predominance 51.9 percent, a proportional increase in blood pressure and patient age, predominance of white patients 75.9 percent. The population studied tend to be overweight BMI of 26.9 Std Dev. 3.53 kg/m2 plus presenting cholesterol mean values of 5.08 1.05 Std Dev mmol / l triglycerides 0.84 2.09 Std Dev mmol / l, blood glucose was 5.5 mmol / l Std Dev 1.22 mmol / l. Increasing age, overweight, as well as blood glucose, cholesterol ,and triglycerides are associated with the appearance of target organ damage Cramer V 0.21, 0.97, 0.92, 0.99; 0.94. all greater than the level of significance. Conclusions: risk factors found, mostly, increased the risk of target organ damage in the patients studied(AU)


Assuntos
Humanos , Masculino , Feminino , Hipertensão/complicações , Fatores de Risco , Impactos na Saúde , Epidemiologia Descritiva
11.
Acta bioquím. clín. latinoam ; 45(2): 323-327, abr.-jun. 2011. tab
Artigo em Espanhol | LILACS | ID: lil-633155

RESUMO

A fin de evaluar la utilidad de la prueba de avidez de los anticuerpos IgG para el reconocimiento de la fase de infección de la toxocariosis en individuos con alto nivel de exposición al parásito, se estudiaron 142 niños asintomáticos de ambos sexos, de 1-6 años de edad, residentes en la ciudad de Resistencia (NE de Argentina), con eosinofilia > 10% y con exámenes coproparasitológicos negativos para helmintos. Se realizó la prueba de ELISA-IgG en todos los casos y en aquellos con títulos > 1/80 se determinó el índice de avidez de IgG. De los 142 niños estudiados, 82 (57,7%) resultaron positivos a la prueba de ELISA-IgG pero sólo 6 (7.3%) tuvieron Índice de avidez menor al 50%, cinco tenían entre 1 y 2 años de edad y el restante 5 años (mediana: 1,5 años). Cuatro tuvieron títulos moderados de IgG (entre 1/80 y 1/640) y 2 títulos altos (entre 1/1280 y 1/10240). Los otros 76 niños con índice de avidez mayor al 50% tenían entre 18 meses y 5,5 años de edad (mediana: 4 años), 44 tuvieron títulos serológicos moderados y 32, títulos altos. Los resultados hallados en este trabajo reafirman que la población de la ciudad de Resistencia presenta altos niveles de exposición a T. canis y que la determinación del índice de avidez de IgG resulta útil para el diagnóstico diferencial entre toxocariosis reciente o tardía, aunque es más efectiva para descartar una infección reciente que para confirmarla.


In order to evaluate the usefulness of the IgG avidity test to recognize the phase of T. canis human infection in individuals highly exposed to the parasite, 142 asymptomatic children of both sexes, 1-6 years old, living in Resistencia (Northeastern Argentina), with eosinophilia > 10% and without helminthic intestinal infestation were studied. ELISA-IgG test was performed in all cases, and in those with serological titers > 1/80 IgG avidity was also measured. Out of 142 children studied, 82 (57.7%) were positive to ELISA test, but only 6 (7.3%) had an IgG avidity index < 50%. Five of them were aged between 1 to 2 years and the other was 5 years old (median 1.5 years). Four had moderate serological titers (between 1/80 and 1/640) and two had high titers (between 1/1280 and 1/10240). The other 76 children with IgG avidity indexes > 50% were between 18 months and 5.5 years old (median 4 years), 44 had moderate serological titers and 32 had high titers. The results found in this study reaffirm that the population in Resistencia city is highly exposed to T. canis infection and that the IgG avidity test may be helpful in differential diagnosis of recent and past toxocariosis, though it would be more effective to rule out a recently acquired infection than to confirm it.


Com o fim de avaliar a utilidade da prova de avidez dos Acs IgG para o reconhecimento da fase de infecção de toxocaríase em indivíduos com alto nível de exposição ao parasita, foram estudadas 142 crianças assintomáticas de ambos os sexos de 1 a 6 anos de idade, residentes na cidade de Resistencia (noreste argentino) com eosinofilia > 10% e com exames coproparasitológicos negativos para helmintos. Foi realizada a prova Elisa-IgG em todos os casos e naqueles com títulos > 1/80 foi determinado o índice de avidez de IgG. Das 142 crianças estudadas, 82 (57,7%) resultaram positivas à prova de Elisa-IgG porém só 6 (7,3%) tiveram índice de avidez < a 50%, 5 tinham entre 1 e 2 anos de idade e as outras 5 anos (média: 1,5 anos). Quatro tiveram títulos moderados de IgG (entre 1/80 e 1/640) e 2 títulos altos (entre 1/1280 e 1/10240). As outras 76 crianças com índice de avidez maior a 50% tinham entre 18 meses e 5,5 anos de idade (média: 4 anos), 44 tiveram títulos sorológicos moderados e 32 títulos altos. Os resultados encontrados neste trabalho reafirmam que a população da cidade de Resistencia apresenta altos níveis de exposição à T. canis e que a determinação do índice de avidez de IgG resulta útil para o diagnostico diferencial entre toxocaríase recente ou tardia, embora seja mais efetiva para descartar uma infecção recente que para confirmá-la.


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Imunoglobulina G , Testes Imunológicos , Larva Migrans Visceral , Toxocaríase , Zoonoses , Parasitologia , Toxocaríase/parasitologia
12.
Medicina (B Aires) ; 70(1): 75-8, 2010.
Artigo em Espanhol | MEDLINE | ID: mdl-20228029

RESUMO

In order to evaluate the association between the infection by Toxocara canis and the symptoms of asthma in children from a subtropical region with high prevalence of toxocariasis, 47 asthmatic children and 53 non-asthmatics as a control group were studied. A complete physical examination was performed and clinical and epidemiological data were registered. In asthmatic children the frequency and severity of symptoms were classified in grades I to IV. The presence of anti-Toxocara canis antibodies in both groups was evaluated employing a solid phase ELISA method with excretion/secretion antigens, and total Ig E was also measured. Results showed a total seropositivity of 55%, 57.4% in children with asthma and 52.8% in the control group. Among asthmatics with severe symptoms (grade II, III and IV), there was a 67.7% of seropositivity while in children with symptoms of grade I there was a 37.5% (p = 0.0470). The infection with T. canis could act as a co-factor increasing the severity of the symptoms of bronchial asthma.


Assuntos
Anticorpos Anti-Helmínticos/sangue , Antígenos de Helmintos/imunologia , Asma/parasitologia , Toxocara canis/imunologia , Toxocaríase/epidemiologia , Animais , Argentina/epidemiologia , Asma/diagnóstico , Asma/imunologia , Estudos de Casos e Controles , Criança , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Masculino , Prevalência , Índice de Gravidade de Doença , Toxocaríase/complicações , Toxocaríase/imunologia
13.
Medicina (B.Aires) ; 70(1): 75-78, feb. 2010. tab
Artigo em Espanhol | LILACS | ID: lil-633722

RESUMO

A fin de evaluar la relación entre la infección por Toxocara canis y los síntomas del asma bronquial en niños de una región subtropical con alta prevalencia de toxocariosis, se estudiaron 47 niños con asma y 53 sin asma como grupo control. Se efectuó el examen físico completo, registrándose datos clínicos y epidemiológicos. En los niños con asma se categorizó el patrón de presentación, frecuencia y gravedad de los síntomas con una escala de I a IV. Se investigó la presencia de anticuerpos anti-Toxocara canis en ambos grupos mediante el método de ELISA en fase sólida, empleando antígeno de excreción/secreción y se efectuó dosaje de Ig E total. Los resultados muestran una seropositividad del 55% en el total de los niños, del 57.4% en los niños con asma y del 52.8% en los controles. En los niños con sintomatología más grave (grado II, III y IV) hubo un 67.7% de seropositivos, mientras que en los niños con síntomas de grado I la seropositividad fue de 37.5% (p = 0.0470). La infección por T. canis actuaría como un co-factor agravante de los síntomas del asma bronquial.


In order to evaluate the association between the infection by Toxocara canis and the symptoms of asthma in children from a subtropical region with high prevalence of toxocariasis, 47 asthmatic children and 53 non-asthmatics as a control group were studied. A complete physical examination was performed and clinical and epidemiological data were registered. In asthmatic children the frequency and severity of symptoms were classified in grades I to IV. The presence of anti-Toxocara canis antibodies in both groups was evaluated employing a solid phase ELISA method with excretion/secretion antigens, and total Ig E was also measured. Results showed a total seropositivity of 55%, 57.4% in children with asthma and 52.8% in the control group. Among asthmatics with severe symptoms (grade II, III and IV), there was a 67.7% of seropositivity while in children with symptoms of grade I there was a 37.5% (p = 0.0470). The infection with T. canis could act as a co-factor increasing the severity of the symptoms of bronchial asthma.


Assuntos
Animais , Criança , Feminino , Humanos , Masculino , Anticorpos Anti-Helmínticos/sangue , Antígenos de Helmintos/imunologia , Asma/parasitologia , Toxocara canis/imunologia , Toxocaríase/epidemiologia , Argentina/epidemiologia , Asma/diagnóstico , Asma/imunologia , Estudos de Casos e Controles , Ensaio de Imunoadsorção Enzimática , Prevalência , Índice de Gravidade de Doença , Toxocaríase/complicações , Toxocaríase/imunologia
14.
In. Federaciòn Ltinoamericana de Cirugìa. X Congreso Cubano de Cirugìa. La Habana, Federacìon Latinoamericana de Cirugìa, dic. 1-5 2008. p.320-320. (CU).
Monografia em Espanhol | CUMED | ID: cum-41739

RESUMO

Se realiza la exploración de urgencia del cuello en un escolar de 5 años de edad q nos llega al cuerpo de guardia con un cuerpo extraño penetrante en el cuello de forma accidental, estando el mismo in situ. Indicamos Rx de columna cervical y cráneo, así como los complementarios de laboratorio de urgencia para tal efecto, se estabiliza y se decide llevar al salón de operaciones, para bajo anestesia general, poder explorar la herida. Este proceder fue realizado en el salón de operaciones, con el cumplimiento de todas las normas de una cirugía mayor. Se debe de tratar de no remover el cuerpo extraño, hasta que no sea valorado, o visto por el personal especializado. Se hace necesario trabajar en equipo, donde la dirección la debe de tener el cirujano de más experiencia (AU)


Assuntos
Humanos , Corpos Estranhos/cirurgia , Pescoço
15.
In. Federaciòn Ltinoamericana de Cirugìa. X Congreso Cubano de Cirugìa. La Habana, Federacìon Latinoamericana de Cirugìa, dic. 1-5 2008. p.294-294. (CU).
Monografia em Espanhol | CUMED | ID: cum-41736

RESUMO

Se realizo un estudio de 10 pacientes operado con el diagnóstico de perforación intestinal por Fiebre Tifoide en el Hospital Provincial de Zaire en la república de Angola en un periodo comprendido de noviembre del 2006 a diciembre del 2007. Por el cuadro clínico de los pacientes, y previo resultado del Rx de tórax con reacción de widal positiva, se realiza laparotomía exploradora de urgencia con toalete de la cavidad abdominal, sutura en dos planos de la perforación intestinal, y drenaje por contravertura. Se debe de realizar diagnóstico precoz, y tratar adecuadamente la Fiebre Tifoidea, para evitar que evolucione hacia esa complicación. Es bastante frecuente encontrarla asociada a otras patología, y en especial con la Malaria. Todo paciente, con sospecha, o diagnostico de Fiebre Tifoidea acompañado de dolores intestinales persistente, descartar la perforación intestinal (AU)


Assuntos
Humanos , Febre Tifoide/diagnóstico , Perfuração Intestinal/complicações
16.
In. Federaciòn Ltinoamericana de Cirugìa. X Congreso Cubano de Cirugìa. La Habana, Federacìon Latinoamericana de Cirugìa, dic. 1-5 2008. p.266-266, CD-ROM. (CU).
Monografia em Espanhol | CUMED | ID: cum-41734

RESUMO

Se aplico la Simpatectomia por video toracoscopia en tres pacientes que presentaban por más de un año de evolución, diagnostico de un Sudek de miembro superior, en los cuales se habían ensayado varios tipos de tratamientos médicos, incluyendo la medicina natural y tradicional, sin obtener buenos resultados. Utilizamos el instrumental del video laparoscopia, incluyendo un laparoscopio de 0 grado, con el método anestésico general, con intubación pulmonal selectiva, con tubo de doble luz, para ventilación individual de cada pulmón. Este proceder fue realizado en el salón de operaciones, con el cumplimiento de todas las normas de una cirugía mayor. En el post operatorio se utilizo un equipo de Over Holt. Decidimos la cirugía mínima invasiva del tórax, por las ventajas de la misma, realizándosele una Simpactectomia. Se describe la técnica, y se comparan los resultados. La toracoscopia es un método diagnostico, y terapéutico a emplear en este tipo de afección. Puede realizarse con un laparoscopio de tipo convencional. Es necesario desarrollar esta técnica en todos los hospitales provinciales e instituto, de cirugía pediátrica. Se hace necesario crear equipos multidisciplinarios, donde se deben incluir Angiólogos (AU)


Assuntos
Humanos , Toracoscopia/métodos , Simpatectomia
17.
Medicina (B Aires) ; 65(3): 226-30, 2005.
Artigo em Espanhol | MEDLINE | ID: mdl-16042133

RESUMO

Toxocariasis is present worldwide but people living in areas with sanitary deficiencies are considered at the highest risk of infection, particularly children. The aim of this work was to know clinical and immunological aspects of infantile toxocariasis in a subtropical region in Argentina. For this purpose, 182 children of both sexes, 0-16 years old and with eosinophilia higher than 10%, living in Resistencia City (Northeast Argentina) were studied. Clinical examination, personal and epidemiological data recording, parasitological fecal examination and dosage of Toxocara canis IgG and IgM levels by EIE were performed; all positive sera were confirmed by Western Blot. Out of 182 children, 122 were positive for T. canis-IgG (67.0%); 28.8% lack of potable drinking water at home, 58.8% lack of sewerage facilities, 91.1% referred a close contact with dogs or cats, 30.0% had a history of geophagia and 86.7% lived along streets without pavement. The clinical forms of the infection were: 77.8% asymptomatic, 6.7% ocular larva migrans and 15.5% visceral larva migrans. In 22 children the serological follow up until 18 months after treatment showed 10 children without change in IgG levels, in 11 it decreased but remained high, and in one it increased. There were 19 children with high levels of T. canis-IgM; in 8 it decreased along treatment, in one it remained stable and 10 of them became negative. There was one child considered as a re-infection case. Results highlight the importance that health authorities should assign to this infection in regions with sanitary deficiencies, where toxocariasis is usually not recognized as a relevant public health problem.


Assuntos
Larva Migrans/imunologia , Toxocara canis/imunologia , Toxocaríase/imunologia , Adolescente , Animais , Argentina/epidemiologia , Gatos , Distribuição de Qui-Quadrado , Criança , Pré-Escolar , Cães , Feminino , Humanos , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Lactente , Recém-Nascido , Larva Migrans/sangue , Larva Migrans/epidemiologia , Larva Migrans Visceral/sangue , Larva Migrans Visceral/epidemiologia , Larva Migrans Visceral/imunologia , Masculino , Razão de Chances , Fatores de Risco , Toxocaríase/sangue , Toxocaríase/epidemiologia
18.
Medicina [B Aires] ; 65(3): 226-30, 2005.
Artigo em Espanhol | BINACIS | ID: bin-38306

RESUMO

Toxocariasis is present worldwide but people living in areas with sanitary deficiencies are considered at the highest risk of infection, particularly children. The aim of this work was to know clinical and immunological aspects of infantile toxocariasis in a subtropical region in Argentina. For this purpose, 182 children of both sexes, 0-16 years old and with eosinophilia higher than 10


, living in Resistencia City (Northeast Argentina) were studied. Clinical examination, personal and epidemiological data recording, parasitological fecal examination and dosage of Toxocara canis IgG and IgM levels by EIE were performed; all positive sera were confirmed by Western Blot. Out of 182 children, 122 were positive for T. canis-IgG (67.0


); 28.8


lack of potable drinking water at home, 58.8


lack of sewerage facilities, 91.1


referred a close contact with dogs or cats, 30.0


had a history of geophagia and 86.7


lived along streets without pavement. The clinical forms of the infection were: 77.8


asymptomatic, 6.7


ocular larva migrans and 15.5


visceral larva migrans. In 22 children the serological follow up until 18 months after treatment showed 10 children without change in IgG levels, in 11 it decreased but remained high, and in one it increased. There were 19 children with high levels of T. canis-IgM; in 8 it decreased along treatment, in one it remained stable and 10 of them became negative. There was one child considered as a re-infection case. Results highlight the importance that health authorities should assign to this infection in regions with sanitary deficiencies, where toxocariasis is usually not recognized as a relevant public health problem.

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