RESUMO
We report a 41-year-old male presenting with progressive dyspnea lasting one month. A CAT scan disclosed a left atrial mass, that was surgically excised. The pathological study of the surgical piece showed a primary hemangiopericytoma. One month later, the patient consulted for cervical pain and a positron emission tomography showed multiple metastases. The patient died two months later.
Assuntos
Neoplasias Cardíacas/patologia , Hemangiopericitoma/patologia , Adulto , Diagnóstico Diferencial , Evolução Fatal , Átrios do Coração/patologia , Hemangiopericitoma/secundário , Humanos , Masculino , Tumores Fibrosos Solitários/patologiaRESUMO
BACKGROUND: Allergic rhinitis and sinusitis are common diseases that affect quality of life of pediatric and adult patients. AIM: To adapt and validate the Sino-Nasal Outcome Test 20 indicators (SNOT-20) survey in Chilean subjects. MATERIAL AND METHODS: In a psychometric validation study, an adapted version of the SNOT-20 adapted version was applied to 181 volunteers on two different occasions, three weeks apart. Feasibility (response time and perceived difficulty), reliability (internal consistency and test-retest) and validity (concurrent validity, correlating results with an independent instrument; predictive validity assessing its sensitivity to detect changes and discriminate validity, assessing receiver operating characteristic (ROC) curves), were assessed. An exploratory factor analysis was performed to confirm the presence of previously described underlying constructs. RESULTS: Eighty percent of participants considered SNOT-20 easy to complete. This task was completed in less than 5 minutes. Cronbach's alpha was 0.946. Temporal stability on a healthy subgroup was strong with an intraclass correlation coefficient of 0.92. SNOT-20 had a correlation coefficient of 0.82 with an independent instrument and its score significantly decreased after 3 weeks of treatment (p = 0.003). The area under ROC curve was 0.895. Factor analysis identified four principal components which possessed identical structure as previously described. CONCLUSIONS: SNOT-20 survey was valid, reliable and easy to implement among Chilean subjects.
Assuntos
Rinite/diagnóstico , Sinusite/diagnóstico , Inquéritos e Questionários , Adulto , Chile , Características Culturais , Métodos Epidemiológicos , Feminino , Humanos , Idioma , Masculino , Psicometria , TraduçãoRESUMO
Resumen Los debates feministas sobre la prostitución han sufrido una creciente polarización en la última década. El presente artículo constituye una exploración en torno a ciertas expresiones del abolicionismo en Argentina. Partimos del análisis de dos escenas que retratan experiencias que hemos tenido al investigar sobre el mercado sexual en ese contexto de polarización. En primer lugar, buscamos describir y analizar los elementos presentes en estas escenas que pueden remitir a concepciones esencialistas y prácticas políticas que contribuyen a la segregación de las mujeres que se definen políticamente como "trabajadoras sexuales", como "otras" de ese movimiento. En segundo lugar, nos interrogamos sobre las condiciones de posibilidad de esta deriva de algunas vertientes del movimiento abolicionista local.
Abstract Feminist debates on prostitution have been increasingly polarized over the past decade. This article is an exploration around certain expressions of abolitionism in Argentina, based on the analysis of two scenes that depict experiences we have had as researchers on the sexual market. First, we describe and analyze the elements present in these scenes that can refer to essentialist conceptions and political practices that contribute to the segregation of women who define themselves as sex workers as the "other" of that movement. Then we inquire about the conditions of possibility of this drift by the local abolitionist movement.
Resumo Os debates feministas sobre a prostituição têm sido cada vez mais polarizados na última década. Este artigo é uma exploração em torno de certas expressões do abolicionismo na Argentina, com base na análise de duas cenas que retratam experiências que tivemos como pesquisadores no mercado sexual. Primeiro, descrevemos e analisamos os elementos presentes nessas cenas que podem se referir a concepções essencialistas e práticas políticas que contribuem para a segregação das mulheres que se definem a si mesmas como profissionais do sexo como as "outras" do movimento. Em seguida, perguntamos sobre as condições de possibilidade dessa deriva do movimento abolicionista local.
Assuntos
Humanos , Feminino , Argentina , Trabalho Sexual , Mulheres , Ativismo Político , Feminismo , Tráfico de Pessoas , Violência de GêneroRESUMO
Background: Allergic rhinitis and sinusitis are common diseases that affect quality of life of pediatric and adult patients. Aim: To adapt and validate the Sino-Nasal Outcome Test 20 indicators (SNOT-20) survey in Chilean subjects. Material and Methods: In a psychometric validation study, an adapted version of the SNOT-20 adapted version was applied to 181 volunteers on two different occasions, three weeks apart. Feasibility (response time and perceived difficulty), reliability (internal consistency and test-retest) and validity (concurrent validity, correlating results with an independent instrument; predictive validity assessing its sensitivity to detect changes and discriminate validity, assessing receiver operating characteristic (ROC) curves), were assessed. An exploratory factor analysis was performed to confirm the presence of previously described underlying constructs. Results: Eighty percent of participants considered SNOT-20 easy to complete. This task was completed in less than 5 minutes. Cronbach's alpha was 0.946. Temporal stability on a healthy subgroup was strong with an intraclass correlation coefficient of0.92. SNOT-20 had a correlation coefficient of0.82 with an independent instrument and its score significantly decreased after 3 weeks of treatment (p = 0.003). The area under ROC curve was 0.895. Factor analysis identified four principal components which possessed identical structure as previously described. Conclusions: SNOT-20 survey was valid, reliable and easy to implement among Chilean subjects.
Assuntos
Adulto , Feminino , Humanos , Masculino , Inquéritos e Questionários , Rinite/diagnóstico , Sinusite/diagnóstico , Chile , Características Culturais , Métodos Epidemiológicos , Idioma , Psicometria , TraduçãoRESUMO
A pesar de que se cuenta con drogas muy activas contra mycobacterium tuberculosis, la tuberculosis continúa siendo un problema de salud pública. Las malas condiciones de vida y los programas inadecuadas de control han impedido la erradicación de la misma. Los principios fundamentales del tratamiento se basan en un dignóstico racional de la enfermedad, en la vigilancia y seguimiento del plan terapéutico y en el control de respuesta a las drogas y de los efectos secundarios. Actualmente los esquemas se han acortado a 6 meses, con índices derecaídas menores del 15 por ciento e incluyen cuatro drogas de primera línea: estreptomicina, rifampicina, isoniacida y etambutol o pirazinamida durante dos los promeros dos meses y rifampicina +isoniacida por 4 meses. La tuberculosis nunca se trata con una sola droga. El tratamiento debe ser combinado, prolongado y regular. Es importante el manejo de los contactos y enfatizar sobre los aspectos de educación, higiene y buenos hábitos de alimentación