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Situation of the tuberculosis in vulnerable population 易感人群结核病现状分析
Pub Date : 2021-06-30 DOI: 10.18004/rdn2021.jun.01.001.003
Pilar Ilka Muñoz Villanueva
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引用次数: 0
Associated factors and screening for feeding and eating disorders in Paraguayan general population 巴拉圭一般人群喂养和饮食失调的相关因素和筛查
Pub Date : 2021-06-30 DOI: 10.18004/rdn2021.jun.01.004.018
Iván Iván, Adriana Piris-Jara, Miguel Ángel Montiel-Alfonso, C. Rios-González, Diego Solís-Ávalos, O. García, R. Navarro, I. González-Urbieta, M. O’Higgins, O. Melgarejo, J. Almirón-Santacruz, N. Ruiz Díaz, Jorge Villalba-Arias, J. Castaldelli-Maia, A. Ventriglio, J. Torales
{"title":"Associated factors and screening for feeding and eating disorders in Paraguayan general population","authors":"Iván Iván, Adriana Piris-Jara, Miguel Ángel Montiel-Alfonso, C. Rios-González, Diego Solís-Ávalos, O. García, R. Navarro, I. González-Urbieta, M. O’Higgins, O. Melgarejo, J. Almirón-Santacruz, N. Ruiz Díaz, Jorge Villalba-Arias, J. Castaldelli-Maia, A. Ventriglio, J. Torales","doi":"10.18004/rdn2021.jun.01.004.018","DOIUrl":"https://doi.org/10.18004/rdn2021.jun.01.004.018","url":null,"abstract":"","PeriodicalId":282392,"journal":{"name":"Revista del Nacional (Itauguá)","volume":"335 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115395753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of Tokyo criteria for the diagnosis of acute cholecystitis in the Adult Emergency Department of the Hospital Nacional, Itauguá 东京标准在伊塔古<e:1>国立医院成人急诊科诊断急性胆囊炎的应用
Pub Date : 2021-06-30 DOI: 10.18004/rdn2021.jun.01.031.040
Carlos Darío Yegros Ortiz, Soel Carlos Feltes Villalba, D. Duarte, Natalia Elizabeth Fretes Oviedo
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引用次数: 1
Satisfaction survey with the teaching of graduates of the Postgraduate course in Internal Medicine 内科学研究生课程毕业生教学满意度调查
Pub Date : 2020-12-30 DOI: 10.18004/rdn2020.dic.02.047.060
R. Delor, M. Codas
Introduction: the information obtained from the graduate of a course allows to apply improvements to the study plan. The degree of satisfaction of the postgraduate doctors in Internal Medicine at the Universidad Nacional de Itapúa is unknown. Objectives: to determine the satisfaction with the teaching of the graduates of the postgraduate course of the Universidad Nacional de Itapúa carried out in the Hospital Nacional de Itauguá and the Hospital Regional de Encarnación. Methodology: a prospective descriptive observational design was applied. In 2020, a structured, anonymous survey was carried out via the internet to the graduate students from both hospitals. Demographic variables, job placement and those related to satisfaction with academic content were requested. The data was subjected to descriptive statistics. The study was approved by the Ethics Committee of the Universidad Nacional de Itapúa. Results: the survey was answered by 68 graduates, with a mean age of 33 ± 5 years, being 37 (54 %) male. 57 % reported being very satisfied, 41 % satisfied and 2 % dissatisfied with the academic training received in postgraduate studies. Conclusion: the overall satisfaction with the teaching of the graduates of the postgraduate course in Internal Medicine of the Universidad Nacional de Itapúa was 98 %. surveys and questionnaires, postgraduate education.
导言:从一门课程的毕业生那里获得的信息允许对学习计划进行改进。国立大学Itapúa的内科研究生医生的满意程度尚不清楚。目的:确定在国立伊塔古奥医院和地区医院Encarnación举办的国立大学Itapúa研究生课程毕业生的教学满意度。方法:采用前瞻性描述性观察设计。2020年,通过互联网对两家医院的研究生进行了一项结构化的匿名调查。人口统计变量,工作安置和那些与学术内容满意度相关的变量被要求。对这些数据进行了描述性统计。这项研究得到了国立大学伦理委员会Itapúa的批准。结果:共有68名毕业生参与调查,平均年龄33±5岁,其中男性37人(54%)。57%的人表示非常满意,41%的人表示满意,2%的人表示不满意。结论:Itapúa国立大学内科研究生班毕业生对教学的总体满意度为98%。调查和问卷,研究生教育。
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引用次数: 0
Septal alcohol ablation as a treatment for hypertrophic obstructive cardiomyopathy. Case report 室间隔酒精消融术治疗肥厚性阻塞性心肌病。病例报告
Pub Date : 2020-12-30 DOI: 10.18004/rdn2020.dic.02.116.123
Fátima López Ibarra, Gustavo Lorenzo Escalada Lesme, Luz Teresa Cabral Gueyraud, Ángel David Brítez Ranoni, Silvana Lucia Zayas
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引用次数: 0
Risk factors in patients with ischemic heart disease admitted to the Hospital de la Fundación Tesãi, Ciudad del Este, Paraguay 巴拉圭埃斯特城医院Fundación tes<e:1>收治的缺血性心脏病患者的危险因素
Pub Date : 2020-12-30 DOI: 10.18004/rdn2020.dic.02.061.072
Mélani Rebeca Radice Duré, Diana Elisa Bogarín Segovia, Diego Samuel Ortigoza Barbudez, Paulo José Sosa Corrales, Julio César Vargas Romero, Romina Paola Radice Duré, Jorge Willian Ortíz, César Augusto Radice Oviedo
_______________________________________________________________________________________________________ Autor correspondiente: Dr. Jorge Willian Ortiz, Ministerio de Salud Pública y Bienestar Social, Centro Médico Nacional, Hospital Nacional, Unidad de Cuidados Intensivos. Itauguá, Paraguay Correo electrónico: jorwill990@hotmail.com Artículo recibido: 27 octubre 2020 Artículo aprobado: 09 noviembre 2020
_______________________________________________________________________________________________________ correspondiente作者:乔治·威廉·奥尔蒂斯博士,部门公共卫生y Bienestar社会国家,国家医疗中心,医院,重症监护单位。itauga,巴拉圭e - mail: jorwill990@hotmail.com收到文章:2020年10月27日批准文章:2020年11月09日
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引用次数: 0
Necrotizing erythema nodosumin lepromatous leprosy associated with mixed infection by Mycobacterium lepromatosis and Mycobacterium leprae. Case report 与麻风分枝杆菌和麻风分枝杆菌混合感染相关的麻风性坏死性结节性红斑。病例报告
Pub Date : 2020-12-30 DOI: 10.18004/rdn2020.dic.02.107.115
Olga María Aldama Olmedo, M. Escobar, M. J. Martinez, M. Aldama, Camila Montoya Bueno, Luis Celías, R. Hernández-Castro, R. Arenas-Guzmán, J. P. Brunelli
Leprosy is a disease caused by Mycobacterium leprae. Its chronic evolution is sometimes interrupted by immunological conditions called leprosy reaction in patients with high bacillary load. These immunological conditions increase morbidity and can be complicated, becoming life threatening. In the spectrum of these reactions, some characterized by vasculonecrotic lesions have been described, such as Lucio's Phenomenon and Necrotizing Lepromatous Nodus Erythem, which are associated with diffuse lepromatous leprosy and the species of bacilli just described, Mycobacterium lepromatosis. We present a 21-year-old female patient, who during specific treatment for multibacillary leprosy presented recurrent pictures of erythema nodosum that evolved to the necrotizing form. In this patient, the simultaneous presence of M. leprae and M. lepromatosis as the cause of the disease was determined through molecular biology. This case represents the first communication of M. lepromatosis in Paraguay, and also the first dual infection as a causative agent of leprosy, in association with M. leprae.
麻风病是由麻风分枝杆菌引起的一种疾病。在细菌负荷高的病人中,它的慢性演变有时被称为麻风病反应的免疫状况打断。这些免疫状况会增加发病率,并可能变得复杂,危及生命。在这些反应的范围内,一些以血管坏死病变为特征的反应已被描述,如卢西奥现象和坏死性麻风结节红斑,它们与弥漫性麻风和刚刚描述的麻风分枝杆菌有关。我们报告了一位21岁的女性患者,她在多菌性麻风病的特殊治疗期间出现结节性红斑的复发性图片,并演变为坏死性形式。在该患者中,通过分子生物学确定麻风分枝杆菌和麻风分枝杆菌病同时存在作为疾病的原因。这一病例是巴拉圭首例麻风支原体病传播,也是首例与麻风支原体相关的麻风病原体双重感染。
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引用次数: 4
C1q nephropathy: unusual diagnosis of nephrotic syndrome in childhood. Case report C1q肾病:儿童肾病综合征的罕见诊断。病例报告
Pub Date : 2020-12-30 DOI: 10.18004/rdn2020.dic.02.124.129
A. Ochoa, A. Hermosilla, M. Pico
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引用次数: 0
Neonatal sepsis in pregnant at term with clinical chorioamnionitis, utility of sepsis score 新生儿脓毒症在足月妊娠与临床绒毛膜羊膜炎,脓毒症评分的效用
Pub Date : 2020-06-30 DOI: 10.18004/rdn2020.0012.01.071-090
Gladys Maribel Godoy Torales, Rocio Raquel Rienzi Grassi, Lourdes Angélica León Rodas, Rosa Centurión, María Magdalena Maidana Ricardo, Carlos Daniel Benítez Rolandi, Oscar Ramón Franco Fleitas
Introduction: chorioamnionitis occurs in 3 to 10 % of full-term pregnancies, and newborns are at risk of developing early sepsis. Objectives: to determine the prevalence of neonatal sepsis in children of term pregnant women with chorioamnionitis; describe the clinical characteristics of mothers and newborns; and evaluate the utility of the sepsis scale (Rodwell scale and PCR) for diagnosis. ISSN 2072-8174 versión impresa Rev. Nac. (Itauguá). 2020;12(1):071-090 ISSN 2307-3640 versión online Rev. Nac. (Itauguá). 2020;12(1):071-090 Methodology: descriptive study, of term newborns, product of mothers with clinical chorioamnionitis, born and admitted to the Servicio de Neonatología del Hospital Nacional from January 2013 to June 2016. Stillbirths, carriers of STORCH infections, and they had no blood culture. Results: 71 term infants met inclusion criteria. The maternal population was made up of adolescents and young adults in 98,5 %, nulliparous and prim parous in 94 %, membrane rupture was >18 hours in 34 (47,8 %) and the birth was performed by caesarean section in 24 (35, 2 %). The reasons for cesarean section were stationary dilation and acute fetal distress in 17 (69,8 %). Neonatal sepsis developed 11 (15,4 %), 3 were confirmed with a positive blood culture, 10 symptoms and 7 depression at birth. Neither died. The first sepsis scale performed at 3,8 ± 1,8 hours of life, and the second at a median of 45,5 hours, had a positive predictive value of 50 % and 60 %. The negative predictive value was 85 and 87 % respectively. Conclusion: neonatal sepsis presented in 15,4 %. Almost all were symptomatic and depressed at birth. The sepsis scale was not useful to confirm the diagnosis, but to rule it out.
绒毛膜羊膜炎发生在足月妊娠的3%至10%,新生儿有发展早期败血症的风险。目的:了解足月妊娠合并绒毛膜羊膜炎患儿新生儿脓毒症的患病率;描述母亲和新生儿的临床特征;评估脓毒症量表(Rodwell量表和PCR)的诊断价值。ISSN 2072-8174 versión impresa Rev. Nac(Itaugua)。2020;12(1):071-090 ISSN 2307-3640 versión online Rev. Nac。(Itaugua)。2020;12(1):071-090方法学:描述性研究,研究对象为2013年1月至2016年6月在Neonatología国立医院服务中心出生并入院的患有临床绒毛膜羊膜炎的足月新生儿。死胎,STORCH感染的携带者,他们没有血培养。结果:71例足月婴儿符合纳入标准。产妇中98.5%为青少年和青壮年,94%为无产和初产,34例(47.8%)胎膜破裂>18小时,24例(35.2%)采用剖宫产。剖宫产的原因是静止扩张和急性胎儿窘迫17例(69.8%)。新生儿败血症11例(15.4%),血培养阳性3例,出生时出现症状10例,抑郁7例。都死了。第一次脓毒症评分在生命3,8±1,8小时进行,第二次脓毒症评分中位数为45,5小时,阳性预测值分别为50%和60%。阴性预测值分别为85%和87%。结论:新生儿败血症发生率为15.4%。几乎所有人在出生时都有症状和抑郁。脓毒症量表不能用于确诊,但可用于排除脓毒症。
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引用次数: 0
Dermatophytes and levaduriform fungi causing superficial mycoses of skin in a dermatological center, San Lorenzo-Paraguay 在圣洛伦佐-巴拉圭的一个皮肤病中心,引起皮肤浅表真菌病的皮肤真菌和左旋脲状真菌
Pub Date : 2019-12-30 DOI: 10.18004/rdn2019.0011.02.030-040
Mariana Yissel Meza Aquino, Lorena Stefani Insfrán Duarte, María Teresa Monserrat Aldama Negrete, Olga María Aldama Olmedo, J. P. Brunelli
Introduction: superficial mycoses or dermatomycosis are among the most common skin infectious diseases. These are located in the superficial layers of the skin and its annexes (hair and nails), for this reason it´s a frecuent cause of medical consult. Of these mycoses, dermatophytosis, malasseziosis and cutaneous candidiasis are the most frequent. Objectives: describe the epidemiological characteristics of superficial mycoses of skin. Methodology: observational, retrospective and cross-sectional study, where epidemiological records of patients who were attended at the Dermatological Specialties Center were analyzed in the period from July 2017 to August 2019, with presumptive diagnosis of superficial mycoses of skin. Results: 341 cases of superficial mycosis of skin were observed. Among the causative agents, dermatophytes were responsible for 56 % (190/341) of the cases; Malassezia sp. 42 % (142/341) and Candida sp. 2 % (9/341). Three cases of mixed mycosis were observed; Candida spp. and Dermatophytes were the causative agents. Conclusion: among the superficial mycoses of skin, dermatophytes followed by malaseziosis are in the first places. This report constitutes an important contribution to the knowledge of the epidemiology of superficial mycoses in our country.
简介:浅表真菌病是最常见的皮肤传染病之一。它们位于皮肤及其附件(头发和指甲)的浅层,因此它是医疗咨询的常见原因。在这些真菌病中,皮肤真菌病、马拉色菌病和皮肤念珠菌病是最常见的。目的:描述皮肤浅表真菌病的流行病学特征。方法:观察性、回顾性和横断面研究,分析2017年7月至2019年8月期间在皮肤科专科中心就诊的患者的流行病学记录,推定诊断为皮肤浅表性真菌病。结果:共观察皮肤浅表性真菌病341例。病原菌中,皮肤真菌占56% (190/341);马拉色菌42%(142/341)和念珠菌2%(9/341)。观察3例混合性真菌病;假丝酵母菌和皮肤真菌是病原菌。结论:在皮肤浅表性真菌病中,以皮癣菌为主,其次是马拉色菌病。本报告是对我国浅表真菌病流行病学知识的重要贡献。
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Revista del Nacional (Itauguá)
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