Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 10 de 10
Filtrar
1.
Rev. cuba. salud pública ; 47(2): e2589, 2021. tab, graf
Artículo en Español | LILACS, CUMED | ID: biblio-1341487

RESUMEN

Introducción: La Organización Mundial de la Salud declaró el 11 de marzo del 2020 a la COVID-19 como pandemia debido a su rápido mecanismo de transmisión y difícil control epidemiológico, lo que representa una pesada carga para el sistema sanitario mundial. Objetivo: Determinar el nivel del síndrome de desgaste profesional que presenta el personal profesional y no profesional del Centro de Salud Jorge Chávez de Puerto Maldonado, frente a la llegada de la pandemia de la COVID-19. Métodos: Estudio no experimental, tipo descriptivo y transversal, con una muestra de 69 personas profesionales y no profesionales que laboran en el Centro de Salud Jorge Chávez de Puerto Maldonado, Perú, abril 2020. A quienes se les aplicó el inventario Maslach Burnout Inventory para valorar el síndrome de agotamiento frente al incremento de casos de COVID-19. Resultados: El 50,72 por ciento (n = 35) del personal que labora en el Centro de Salud Jorge Chávez presentó un nivel medio del síndrome de desgaste profesional, con el mayor peso en la subescala de agotamiento emocional con un 60,87 por ciento (n = 42) en nivel medio. La situación que más le preocupaba al personal es la escasez del equipo personal de protección como tapabocas, guantes y uniformes. Conclusiones: La mitad de los trabajadores profesionales y no profesionales del Centro de Salud Jorge Chávez presentan niveles medios del síndrome de desgaste profesional. El cansancio emocional es la dimensión más afectada, según las dimensiones definidas por Maslach Burnout Inventory. Entre las estrategias para afrontar la emergencia por COVID-19 están la planificación anticipada, el trabajo en equipo y la disponibilidad adecuada de equipos de protección personal, los cuales son factores fundamentales para prevenir el síndrome de desgaste profesional(AU)


Introduction: The World Health Organization declared COVID-19 on 11 March, 2020 as a pandemic due to its quick transmission mechanism and difficult epidemiological control, which poses a heavy burden on the global health system. Objective: Determine the level of professional wear syndrome presented by professional and non-professional staff of Jorge Chavez Health Center in Puerto Maldonado, facing the arrival of the COVID-19 pandemic. Methods: Non-experimental study, descriptive and transversal type, with a sample of 69 professional and non-professional persons working at Jorge Chavez Health Center in Puerto Maldonado, Peru, April 2020. The staff underwent Maslach Burnout Inventory applied to assess exhaustion syndrome while facing increased COVID-19 cases. Results: 50.72 percent (n=35) of staff working at Jorge Chavez Health Center had an average level of professional wear syndrome, with the highest weight in the emotional exhaustion subscale with 60.87 percent (n=42) at the mid-level. The situation of greatest concern to staff is the scarcity of personal protective equipment such as facemasks, gloves and uniforms. Conclusions: Half of the professional and non-professional workers at Jorge Chavez Health Center have average levels of professional wear syndrome. Emotional fatigue is the most affected dimension, according to the dimensions defined by Maslach Burnout Inventory. Among the strategies to address COVID-19 emergency are included: advance planning, teamwork, and adequate availability of personal protective equipment, which are key factors in preventing professional wear syndrome(AU)


Asunto(s)
Humanos , Masculino , Femenino , Agotamiento Profesional/epidemiología , Agotamiento Psicológico/etiología , SARS-CoV-2 , COVID-19/prevención & control , COVID-19/epidemiología , Perú , Epidemiología Descriptiva , Estudios Transversales
2.
An Bras Dermatol ; 93(2): 279-281, 2018 03.
Artículo en Inglés | MEDLINE | ID: mdl-29723380

RESUMEN

Lobomycosis or lacaziosis is a chronic granulomatous fungal infection caused by Lacazia loboi. Most cases are restricted to tropical regions. Transmission is believed to occur through traumatic inoculation in the skin, mainly in exposed areas. It is characterized by keloid-like nodules. There are only a few hundred cases reported. The differential diagnoses include many skin conditions, and treatment is difficult. The reported case, initially diagnosed as keloid, proved to be refractory to surgical treatment alone. It was subsequently approached with extensive surgery, cryotherapy every three months and a combination of itraconazole and clofazimine for two years. No signs of clinical and histopathological activity were detected during follow-up.


Asunto(s)
Enfermedades del Oído/patología , Enfermedades del Oído/terapia , Queloide/patología , Lobomicosis/patología , Lobomicosis/terapia , Adulto , Antifúngicos/uso terapéutico , Biopsia , Clofazimina/uso terapéutico , Crioterapia/métodos , Diagnóstico Diferencial , Enfermedades del Oído/diagnóstico , Humanos , Itraconazol/uso terapéutico , Queloide/diagnóstico , Lobomicosis/diagnóstico , Masculino , Resultado del Tratamiento
3.
An. bras. dermatol ; 93(2): 279-281, Mar.-Apr. 2018. graf
Artículo en Inglés | LILACS | ID: biblio-887199

RESUMEN

Abstract: Lobomycosis or lacaziosis is a chronic granulomatous fungal infection caused by Lacazia loboi. Most cases are restricted to tropical regions. Transmission is believed to occur through traumatic inoculation in the skin, mainly in exposed areas. It is characterized by keloid-like nodules. There are only a few hundred cases reported. The differential diagnoses include many skin conditions, and treatment is difficult. The reported case, initially diagnosed as keloid, proved to be refractory to surgical treatment alone. It was subsequently approached with extensive surgery, cryotherapy every three months and a combination of itraconazole and clofazimine for two years. No signs of clinical and histopathological activity were detected during follow-up.


Asunto(s)
Humanos , Masculino , Adulto , Enfermedades del Oído/patología , Enfermedades del Oído/terapia , Lobomicosis/patología , Lobomicosis/terapia , Queloide/patología , Biopsia , Resultado del Tratamiento , Clofazimina/uso terapéutico , Itraconazol/uso terapéutico , Crioterapia/métodos , Diagnóstico Diferencial , Enfermedades del Oído/diagnóstico , Lobomicosis/diagnóstico , Queloide/diagnóstico , Antifúngicos/uso terapéutico
4.
J Eur Acad Dermatol Venereol ; 31(10): 1757-1763, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28300323

RESUMEN

BACKGROUND: Acquired perforating dermatosis (APD) is a rare group of skin disorders of unknown aetiology and pathogenesis and is associated with several systemic diseases. OBJECTIVE: We review the clinicopathological features, associated systemic diseases and treatment response in a series of APD patients. METHODS: We conducted a retrospective observational study of all patients histologically diagnosed with APD in Hospital San Jorge (Huesca, Spain) between 2002 and 2014. Demographic and clinical features were collected from medical records. Statistical analyses were carried out using SPSS software (version 20.0; IBM Corp, Armonk, NY, USA). RESULTS: The study population consisted of 31 patients (19 women and 12 men), with a mean age of 54 years. Reactive perforating collagenosis (n = 15, 45%) was the most common histopathologic type. The most frequently affected area was the lower limbs (66.6%, n = 22), and pruritus was present in 19 patients (61.3%, P = 0.005). Arterial hypertension (30.3%) was the most common associated condition. Five patients were receiving treatment with infliximab when diagnosed with APD. Most patients responded to topical steroids and oral antihistamines (n = 15). LIMITATIONS: This study is retrospective, and the sample size is limited. CONCLUSION: Acquired perforating dermatosis is an underdiagnosed dermatosis frequently associated with systemic disorders. Its pathogenesis may involve vascular damage, not only in patients with diabetes, but also in those with arterial hypertension and chronic venous insufficiency. Control of pruritus and underlying extracutaneous disorders, as well as discontinuation of the treatment with biologics, are important aspects of the management of this dermatosis.


Asunto(s)
Corticoesteroides/uso terapéutico , Antagonistas de los Receptores Histamínicos/uso terapéutico , Infliximab/uso terapéutico , Enfermedades de la Piel/tratamiento farmacológico , Enfermedades de la Piel/etiología , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Enfermedades de la Piel/complicaciones , Resultado del Tratamiento , Adulto Joven
5.
BMJ Open ; 5(12): e009884, 2015 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-26674505

RESUMEN

INTRODUCTION: Complex anal fistulas are responsible for pain, faecal incontinence and impaired quality of life. The rectal mucosa advancement flap (RMAF) procedure to cover the internal opening of the fistula remains a strategy of choice. However, a new procedure for closing anal fistulas is now available with the use of a nitinol closure clip (OTSC Proctology, OVESCO), which should ensure a better healing rate. This procedure is currently becoming more widespread, though without robust scientific validation, and it is therefore essential to carry out a prospective evaluation in order to determine the efficacy and safety of this new medical device for complex anal fistulas. METHODS AND ANALYSIS: The FISCLOSE trial is aimed at evaluating the efficacy and safety of a nitinol closure clip compared to the RMAF procedure for the management of complex anal fistulas. This trial is a prospective, randomised, controlled, single-blind, bicentre and interventional study. Patients (n=46 per group) will be randomly assigned for management with either a closure clip or RMAF. The main objectives are to improve the healing rate of the anal fistula, lessen the postoperative pain and faecal incontinency, enhance the quality of life, and lower the number of reinterventions and therapeutic management costs. The primary outcome is the proportion of patients with a healed fistula at 3 months. The secondary outcomes are anal fistula healing (6 and 12 months), proctological pain (visual analogue scale), the faecal incontinence score (Jorge and Wexner questionnaire), digestive disorders and quality of life (Gastrointestinal Quality of Life Index and Euroqol EQ5D-3 L) up to 1 year. ETHICS AND DISSEMINATION: The study was approved by an independent medical ethics committee 1 (IRB00008526, CPP Sud-Est 6, Clermont-Ferrand, France) and registered by the competent French authority (ANSM, Saint Denis, France). The results will be disseminated in a peer-reviewed journal and presented at international congresses. TRIAL REGISTRATION NUMBER: NCT02336867; pre-result.


Asunto(s)
Aleaciones , Fístula Rectal/cirugía , Dispositivos de Fijación Quirúrgicos , Técnicas de Cierre de Heridas/instrumentación , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Protocolos Clínicos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Recto/cirugía , Método Simple Ciego , Colgajos Quirúrgicos , Resultado del Tratamiento , Adulto Joven
6.
Clin Dermatol ; 30(4): 420-4, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22682191

RESUMEN

Lobomycosis is a rare chronic fungal infection of the subcutaneous tissue found in South America, mainly in Brazil. It is caused by Lacazia loboi. Its clinical manifestations are dermal nodules, either lenticular or in plaques, and keloidlike lesions that can resemble nodular leprosy or leishmaniasis, other subcutaneous mycoses (sporotrychosis, chromomycosis, paracoccidioidomycosis), keloids, and malignant tumors. Diagnosis is made by the histopathological findings of the fungus. For treatment, surgical removal of the lesions, followed by itraconazole and clofazimine for disseminated lesions, has been used with variable results.


Asunto(s)
Antifúngicos/uso terapéutico , Clofazimina/uso terapéutico , Itraconazol/uso terapéutico , Lacazia/aislamiento & purificación , Leprostáticos/uso terapéutico , Lobomicosis/tratamiento farmacológico , Diagnóstico Diferencial , Femenino , Humanos , Lobomicosis/patología , Masculino , Pronóstico , Factores Sexuales , América del Sur , Resultado del Tratamiento
7.
Tech Coloproctol ; 15(1): 17-22, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21264677

RESUMEN

BACKGROUND: Millions of people suffer from anal incontinence not currently treated due to the complexity and cost of the surgical techniques in use. The purpose of this report is to evaluate the results of anal encirclement with a simple device in a group of patients with faecal incontinence of multiple causes. METHODS: Surgery was performed as a modified Thiersch procedure through minimal perianal incisions, and a flat band of silicone was introduced to encircle the anus. Results were assessed by clinical response and objectively evaluated by comparing pre- and post-operative manometry, Jorge-Wexner and QOL (Rockwood) scores. RESULTS: Over a period of 5 years, this procedure was performed in 20 women and 13 men, mean age 54 years (27-86 years). Causes of incontinence were iatrogenic (5), obstetric (5), idiopathic (5), restorative proctectomy (5), rectal prolapsed (4), congenital (4), neuropathic (3), trauma (1) and mixed (1). Mortality was nil and morbidity was related to early infection (n = 2) and late skin erosion/infection (n = 2). Early or late breaking of the sling occurred in nine patients, due to the inappropriate method of closing the device. There were 13 explants: 3 as definitive and 10 re-implantations. All but one patient improved the clinical status which was objectively assessed by Jorge-Wexner and QOL scores, with significant differences. CONCLUSIONS: This simple, safe and low-cost technique is useful for treating from disturbing soiling to severe incontinence in all those patients with failed sphincteroplasty or not amenable to sphincter repair. However, a proper device needs to be designed.


Asunto(s)
Canal Anal/cirugía , Incontinencia Fecal/cirugía , Prótesis e Implantes , Implantación de Prótesis/métodos , Siliconas , Adulto , Anciano , Anciano de 80 o más Años , Remoción de Dispositivos , Falla de Equipo , Incontinencia Fecal/psicología , Femenino , Humanos , Masculino , Manometría , Persona de Mediana Edad , Calidad de Vida/psicología , Resultado del Tratamiento
8.
RGO (Porto Alegre) ; 58(1): 47-53, jan.-mar. 2010. tab, graf
Artículo en Portugués | LILACS, BBO - Odontología | ID: biblio-873910

RESUMEN

Objetivo: Verificar a associação entre a doença periodontal e a doença pulmonar, a partir de um levantamento epidemiológico, caso e controle, em pacientes que frequentaram o pronto atendimento da Fundação Hospital Adriano Jorge, no período de junho de 2006 a fevereiro de 2007, na cidade de Manaus, Amazonas, Brasil. Métodos: A amostra foi composta por 140 pacientes, sendo que pacientes com pneumonia adquirida na comunidade esteve presente em 60% (n = 70) e a doença pulmonar obstrutiva crônica em 40% (grupo-caso) e 70 pacientes sem doença respiratória (grupo-controle), com a idade variando entre 19 e 69 anos, apresentando média de 41,3, desvio-padrão 13,6 anos. Os parâmetros clínicos para avaliar as alterações periodontais foram obtidos por meio da profundidade de bolsa, do sangramento a sondagem, do índice de placa e da perda de inserção clínica. Resultados: Ambos os grupos não apresentaram diferença significativa em nenhuma das variáveis de controle (p>0,05). Os grupos apresentaram diferença significativa apenas no índice de placa (p<0,05) sendo média de 0,36, desvio-padrão de 0,30 nos controles e nos casos média de 0,51, desvio-padrão 0,35. Conclusão: A doença periodontal não apresentou associação significativa com a doença pulmonar, tanto em gravidade quanto na extensão (p>0,05). Devido ao aumento do índice de placa bacteriana na cavidade bucal de pacientes com doenças respiratórias, novos estudos devem ser realizados para verificar qual a relação entre as duas doenças.


Objective: To verify the association between periodontal disease and lung disease from an epidemiological, case and control survey, in patients who attended the first aid service of the Adriano Jorge Foundation Hospital, Manaus, Amazonas, Brazil, from June 2006 to February 2007. Methods: The sample consisted of 140 patients, among whom community-acquired pneumonia was present in 60% (n = 70), and chronic obstructive pulmonary disease in 40% (case-group); and 70 patients without respiratory disease (control group), ranging between 19 and 69 years of ages, with a mean age of 41.3, and standard deviation of 13.6 years. The clinical parameters for evaluating periodontal changes were obtained by means of pocket depth, bleeding on probing, plaque index and clinical attachment loss. Results: Both groups showed no significant difference in any of the control variables (p>0.05). The groups showed significant difference only in the plaque index (p <0.05) and the mean was 0.36, standard deviation 0.30 in control group, and in the cases a mean of 0.51, standard deviation 0.35. Conclusion: Periodontal disease showed no significant association with lung disease, both in severity and extension (p> 0.05). Due to the increase in the bacterial plaque index in the oral cavity of patients with respiratory diseases, further studies should be conducted to verify what the relationship between the two diseases is.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Enfermedades Periodontales/complicaciones , Enfermedades Pulmonares/complicaciones , Estudios de Casos y Controles , Encuestas Epidemiológicas , Encuestas y Cuestionarios
9.
GEN ; 52(4): 240-3, oct.-dic. 1998. ilus
Artículo en Español | LILACS | ID: lil-261628

RESUMEN

Con el propósito de conocer el estado nutricional de los niños con Hipertensión Portal, se realizó un estudio piloto en el Servicio de Gastroenterología Pediátrica y Nutrición del Hospital de Niños "Dr. Jorge Lizarraga" con un total de 29 niños con diagnóstico de Hipertensión Portal (3 intrahepáticas y 27 extraepáticas) y 30 niños sanos del grupo control. La edad, el sexo y el nivel socioeconómico, medido por Graffar fueron equivalentes. Se realizaron las siguientes mediciones antropométricas: Peso, talla, Pliegue Tricipital (PT) y Circunferencia Branquial Izquierda (CBI) y se calcularon los indicadores (Peso/Edad, Peso/Talla y Talla/Edad), además de la estratificación socioeconómica por Graffar. A los parámetros Talla/Edad y CIB se le calcularon Z-scores respectivos. Los dos grupos fueron comparables en edad, sexo y nivel socioeconómico. El grupo de pacientes con Hipertensión portal tuvo valores menores más no significativamente diferentes que los niños controles para el Z-score de la Talla/Edad (XñEE) (-094+0.34 vs -0.44ñ0.28) respectivamente. Para el Z-score de la CBI, los niños con Hipertensión Portal presentaron valores significativamente más bajos que los del grupo control: -1,19 ñ 0,15 vs -0,81ñ 0,21 (p<0,01) respectivamente. Al relacionar el z-score de la CIB con la edad se encontró una correlación negativa y significativa (r=0.480 p<0.05). Las diferencias encontradas entre el grupo control y los niños con Hipertensión Portal en su CBI y su correlación negativa con la edad sustentan un deterioro progresivo, de los indicadores de composición corporal en los pacientes con hipertensión portal, a medida que avanza la edad y por ende la enfermedad


Asunto(s)
Niño , Humanos , Antropometría , Gastroenterología/instrumentación , Hipertensión Portal/complicaciones , Circunferencia del Brazo , Estado Nutricional/fisiología
10.
Acta Med Port ; 7(11): 607-10, 1994 Nov.
Artículo en Portugués | MEDLINE | ID: mdl-7717099

RESUMEN

UNLABELLED: Lead poisoning is one of the most common and preventable childhood illness. The authors believe that the present study is the first evaluation of this problem in Portugal. OBJECTIVES: a) to characterize blood lead levels in children aged 1 to 6 years living in the Oporto area; b) to identify risk groups and develop screening strategies. MATERIAL AND METHODS: The authors studied an opportunistic sample of children that were observed at the Hospital Maria Pia and the Instituto Nacional de Saúde Dr. Ricardo Jorge (Porto) to whom blood testing was requested. All children with neurological or digestive symptoms were excluded (October-December 1991; n = 113). RESULTS: One child had a blood lead level of 46.6 micrograms/dl (class-IV, CDC); 32% (n = 36) were between 20 e 44 micrograms/dl (class-III), while only four children (3.2%) presented values < = 9 micrograms/dl (class-I). Class II included the remainder (n = 73). The results clearly point out that lead poisoning is a real problem among Portuguese children, since the proportion of children not considered to be lead-poisoned is very small. Children in the other classes are at risk of developing acute and chronic toxicity.


Asunto(s)
Intoxicación por Plomo/epidemiología , Preescolar , Exposición a Riesgos Ambientales , Femenino , Humanos , Lactante , Plomo/sangre , Intoxicación por Plomo/sangre , Masculino
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...