Pub Date : 2019-06-30DOI: 10.18004/RDN2019.0011.01.039-055
J. Ortiz, A. Aveiro, Edgar Ortega Filartiga
Introduction: the daily urinary excretion of sodium (Natriuria) reflects the consumption of salt in the diet and this has been already related from the Anglo-Saxon literature with arterial hypertension; and more recently with metabolic alterations such as overweight and obesity; therefore it is deduced that it would be a relevance determinant in the study of cardic-brain-vascular diseases. Objectives: to determine the relationship between urinary sodium excretion, blood pressure and BMI in young adults of the “Hospital Nacional de Itauguá”. Material and methods: prospective, descriptive, observational study with analytical components carried out in adults-young inpatients and staff of the Medical Clinic service of the “Hospital Nacional” in 2018. Results: the average age was 35 ± 11 years. Female patients predominated (62%). The incidence of arterial hypertension was 66%, overweight was observed in 40% and obesity in 30%. The average of Natriuria was 8.8gr / day (SD: ± 0.8 g / day) that would correspond to the daily salt content in the diet of the individuals studied and its correlation with both systolic blood pressures (r = 0.34) as diastolic (r = 0.34) and the BMI (r = 0.60) yielded positive data with p <0.01. Conclusion: the consumption of salt was almost double that recommended and varied slightly with the last report made in our country and with Rev. Nac. (Itauguá) 2019;11(1):39-55 10.18004/rdn2019.0011.01.039-055 neighboring countries. A positive relationship between high salt intake and exposed clinical parameters was demonstrated, the same correlation was seen both for systolic and diastolic pressures and a higher relationship with BMI, presenting a trend line that supposes a higher BMI higher natriuria and consequently higher blood pressure.
{"title":"Relationship between urinary sodium excretion, blood pressure and BMI in young adults","authors":"J. Ortiz, A. Aveiro, Edgar Ortega Filartiga","doi":"10.18004/RDN2019.0011.01.039-055","DOIUrl":"https://doi.org/10.18004/RDN2019.0011.01.039-055","url":null,"abstract":"Introduction: the daily urinary excretion of sodium (Natriuria) reflects the consumption of salt in the diet and this has been already related from the Anglo-Saxon literature with arterial hypertension; and more recently with metabolic alterations such as overweight and obesity; therefore it is deduced that it would be a relevance determinant in the study of cardic-brain-vascular diseases. Objectives: to determine the relationship between urinary sodium excretion, blood pressure and BMI in young adults of the “Hospital Nacional de Itauguá”. Material and methods: prospective, descriptive, observational study with analytical components carried out in adults-young inpatients and staff of the Medical Clinic service of the “Hospital Nacional” in 2018. Results: the average age was 35 ± 11 years. Female patients predominated (62%). The incidence of arterial hypertension was 66%, overweight was observed in 40% and obesity in 30%. The average of Natriuria was 8.8gr / day (SD: ± 0.8 g / day) that would correspond to the daily salt content in the diet of the individuals studied and its correlation with both systolic blood pressures (r = 0.34) as diastolic (r = 0.34) and the BMI (r = 0.60) yielded positive data with p <0.01. Conclusion: the consumption of salt was almost double that recommended and varied slightly with the last report made in our country and with Rev. Nac. (Itauguá) 2019;11(1):39-55 10.18004/rdn2019.0011.01.039-055 neighboring countries. A positive relationship between high salt intake and exposed clinical parameters was demonstrated, the same correlation was seen both for systolic and diastolic pressures and a higher relationship with BMI, presenting a trend line that supposes a higher BMI higher natriuria and consequently higher blood pressure.","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48895578","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}
Pub Date : 2019-06-30DOI: 10.18004/RDN2019.0011.01.068-079
Lizzie Escurra, E. Taboada
RESUMEN Introducción: la deficiencia de hierro es una comorbilidad en pacientes con insuficiencia cardiaca que puede provocar graves consecuencias clínicas y generar mal pronóstico. Objetivos: determinar la frecuencia de anemia ferropénica en pacientes internados con insuficiencia cardiaca y describir sus características demográficas y clínicas de los pacientes. Metodología: observacional descriptivo prospectivo de corte transversal. Se incluyó a pacientes varones y mujeres, mayores de 18 años de edad, portadores de insuficiencia cardiaca, internados en el Hospital Nacional (Itauguá, Paraguay) en años 2017-2018. Se midieron variables clínicas y laboratoriales. Se consideró anemia ferropénica a todo valor de hemoglobina ≤13 g/dL en hombres y ≤ 12 g/dL en mujeres con ferritina <100 μg/L. Resultados: se incluyeron 152 pacientes con edad media 68±14 años y siendo 57% del sexo masculino. Entre las comorbilidades predominó la hipertensión arterial (95%). Se encontró 72% de sujetos con anemia ferropénica, siendo la frecuencia superior en los grados II y III de la clasificación funcional de la NYHA Conclusión: La frecuencia de anemia ferropénica en pacientes con IC fue 72% y predominó en el sexo masculino y con clase funcional II-III. La comorbilidad más frecuente fue la hipertensión arterial.
{"title":"Frequency of iron deficiency in patients with heart failure","authors":"Lizzie Escurra, E. Taboada","doi":"10.18004/RDN2019.0011.01.068-079","DOIUrl":"https://doi.org/10.18004/RDN2019.0011.01.068-079","url":null,"abstract":"RESUMEN Introducción: la deficiencia de hierro es una comorbilidad en pacientes con insuficiencia cardiaca que puede provocar graves consecuencias clínicas y generar mal pronóstico. Objetivos: determinar la frecuencia de anemia ferropénica en pacientes internados con insuficiencia cardiaca y describir sus características demográficas y clínicas de los pacientes. Metodología: observacional descriptivo prospectivo de corte transversal. Se incluyó a pacientes varones y mujeres, mayores de 18 años de edad, portadores de insuficiencia cardiaca, internados en el Hospital Nacional (Itauguá, Paraguay) en años 2017-2018. Se midieron variables clínicas y laboratoriales. Se consideró anemia ferropénica a todo valor de hemoglobina ≤13 g/dL en hombres y ≤ 12 g/dL en mujeres con ferritina <100 μg/L. Resultados: se incluyeron 152 pacientes con edad media 68±14 años y siendo 57% del sexo masculino. Entre las comorbilidades predominó la hipertensión arterial (95%). Se encontró 72% de sujetos con anemia ferropénica, siendo la frecuencia superior en los grados II y III de la clasificación funcional de la NYHA Conclusión: La frecuencia de anemia ferropénica en pacientes con IC fue 72% y predominó en el sexo masculino y con clase funcional II-III. La comorbilidad más frecuente fue la hipertensión arterial.","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45638930","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}
Pub Date : 2018-12-30DOI: 10.18004/RDN2018.0010.02.001-003
V. Martínez
{"title":"DEL NACIONAL Journal: ten years of uninterrupted publication","authors":"V. Martínez","doi":"10.18004/RDN2018.0010.02.001-003","DOIUrl":"https://doi.org/10.18004/RDN2018.0010.02.001-003","url":null,"abstract":"","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48161747","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}
Pub Date : 2018-12-30DOI: 10.18004/RDN2018.0010.02.105-120
María Raquel Segovia Vázquez, C. Álvarez
{"title":"Severity criteria for hypertensive pregnancy disease","authors":"María Raquel Segovia Vázquez, C. Álvarez","doi":"10.18004/RDN2018.0010.02.105-120","DOIUrl":"https://doi.org/10.18004/RDN2018.0010.02.105-120","url":null,"abstract":"","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44503673","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}
Pub Date : 2018-12-30DOI: 10.18004/RDN2018.010.02.093-104
Dora Elizabeth Montiel de Jarolín, Sandra Holtzberger, C. Gill
Introduction: rheumatoid arthritis (RA) is an autoimmune, inflammatory, chronic and systemic disease characterized by a progressive functional deterioration. Cardiovascular disease associated with atherosclerotic events is one of the causes of morbidity and mortality in patients with RA. Objective: to determine the frequency of dyslipidemia and other cardiovascular risk factors in patients with RA who consult the Day Hospital of the National Hospital of Itauguá in the period January 2018-March 2018. Material and Method: descriptive observational study of transverse section. We included 45 patients with RA who were determined serum lipid profile. The results were classified according to the modified report in 2004 of the Third Adult Treatment Panel (ATP III). In addition, the activity of the disease, the body mass index, the associated cardiovascular risk factors (hypertension, diabetes mellitus, sedentary lifestyle, use of corticosteroids) were determined. DEL NACIONAL Rev. Nac. (Itauguá) 2018;10(2):093-104 doi: 10.18004/rdn2018.010.02.093-104 Results: 45 patients were included, 36 women (80%), 9 males (20%), 48 ± 14 mean age, 54.8 ± 64 months mean disease time, 27 (60%) inactive arthritis, 18 active arthritis (60%). 40%). CRP presented mean 1.6 ± 2.7 mg / dL, mean erythrocytes 28.5 ± 18.7 mm / 1 ° h, dyslipidemia 17 (38%), mean total cholesterol 189 ± 42.3 mg / dL, hypercholesterolemia 16 (36%), average LDL-C of 97 mg / dL, HDL-C mean 44.5 mg / dL, HDL-c low 18 (40%), mean triglycerides 140 mg / dL, hypertriglyceridemia 11 (25%), mean glycemia 95 mg / dL. They had high blood pressure 11 (24.4%), diabetes mellitus 2 (4.4%), use of corticosteroids 24 (55%), average daily dose of prednisone 10 mg, sedentary lifestyle 28 (65%), mean BMI 27 ± 6 , 2 k / m2, overweight 13 (29%), obesity 10 (22%). The activity of the disease was not statistically significant with dyslipidemia (p 0.6) but the use of prednisone was statistically significant in relation to the presence of low HDL-c. Conclusion: the frequency of dyslipidemia was 38%, the main associated risk factors were sedentary lifestyle and overweight / obesity.
{"title":"Frequency of dyslipidemia and other cardiovascular risk factors in patients with rheumatoid arthritis","authors":"Dora Elizabeth Montiel de Jarolín, Sandra Holtzberger, C. Gill","doi":"10.18004/RDN2018.010.02.093-104","DOIUrl":"https://doi.org/10.18004/RDN2018.010.02.093-104","url":null,"abstract":"Introduction: rheumatoid arthritis (RA) is an autoimmune, inflammatory, chronic and systemic disease characterized by a progressive functional deterioration. Cardiovascular disease associated with atherosclerotic events is one of the causes of morbidity and mortality in patients with RA. Objective: to determine the frequency of dyslipidemia and other cardiovascular risk factors in patients with RA who consult the Day Hospital of the National Hospital of Itauguá in the period January 2018-March 2018. Material and Method: descriptive observational study of transverse section. We included 45 patients with RA who were determined serum lipid profile. The results were classified according to the modified report in 2004 of the Third Adult Treatment Panel (ATP III). In addition, the activity of the disease, the body mass index, the associated cardiovascular risk factors (hypertension, diabetes mellitus, sedentary lifestyle, use of corticosteroids) were determined. DEL NACIONAL Rev. Nac. (Itauguá) 2018;10(2):093-104 doi: 10.18004/rdn2018.010.02.093-104 Results: 45 patients were included, 36 women (80%), 9 males (20%), 48 ± 14 mean age, 54.8 ± 64 months mean disease time, 27 (60%) inactive arthritis, 18 active arthritis (60%). 40%). CRP presented mean 1.6 ± 2.7 mg / dL, mean erythrocytes 28.5 ± 18.7 mm / 1 ° h, dyslipidemia 17 (38%), mean total cholesterol 189 ± 42.3 mg / dL, hypercholesterolemia 16 (36%), average LDL-C of 97 mg / dL, HDL-C mean 44.5 mg / dL, HDL-c low 18 (40%), mean triglycerides 140 mg / dL, hypertriglyceridemia 11 (25%), mean glycemia 95 mg / dL. They had high blood pressure 11 (24.4%), diabetes mellitus 2 (4.4%), use of corticosteroids 24 (55%), average daily dose of prednisone 10 mg, sedentary lifestyle 28 (65%), mean BMI 27 ± 6 , 2 k / m2, overweight 13 (29%), obesity 10 (22%). The activity of the disease was not statistically significant with dyslipidemia (p 0.6) but the use of prednisone was statistically significant in relation to the presence of low HDL-c. Conclusion: the frequency of dyslipidemia was 38%, the main associated risk factors were sedentary lifestyle and overweight / obesity.","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43398607","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}
Pub Date : 2018-12-30DOI: 10.18004/RDN2018.010.02.164-166
Juan Manuel Invernizzi-Prats
{"title":"Vaping or vaping, safe or harmful","authors":"Juan Manuel Invernizzi-Prats","doi":"10.18004/RDN2018.010.02.164-166","DOIUrl":"https://doi.org/10.18004/RDN2018.010.02.164-166","url":null,"abstract":"","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44166000","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}
Pub Date : 2018-12-30DOI: 10.18004/rdn2018.0010.02.039-057
Gladys Alba Vázquez Molas
{"title":"Users satisfaction of the Obstetrics and Gynecology Department users of the Hospital Nacional in 2018","authors":"Gladys Alba Vázquez Molas","doi":"10.18004/rdn2018.0010.02.039-057","DOIUrl":"https://doi.org/10.18004/rdn2018.0010.02.039-057","url":null,"abstract":"","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67548078","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}
Pub Date : 2018-12-30DOI: 10.18004/rdn2018.0010.02.021-038
Gloria Elizabeth Gómez Duarte, Sanie Magdalena Buena Mereles, María Enilda Vega Bogado
{"title":"Resistance profile of microorganisms isolated in the Microbiology Service of the Hospital Nacional in the year 2017","authors":"Gloria Elizabeth Gómez Duarte, Sanie Magdalena Buena Mereles, María Enilda Vega Bogado","doi":"10.18004/rdn2018.0010.02.021-038","DOIUrl":"https://doi.org/10.18004/rdn2018.0010.02.021-038","url":null,"abstract":"","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67548067","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}
Pub Date : 2018-12-30DOI: 10.18004/RDN2018.010.02.139-144
Patricia María Beatriz Sobarzo-Vysokolan, J. Ortiz, A. Villalba
{"title":"Lactic acidosis by alcohol intoxication","authors":"Patricia María Beatriz Sobarzo-Vysokolan, J. Ortiz, A. Villalba","doi":"10.18004/RDN2018.010.02.139-144","DOIUrl":"https://doi.org/10.18004/RDN2018.010.02.139-144","url":null,"abstract":"","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49594135","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}
Pub Date : 2018-12-30DOI: 10.18004/rdn2018.010.02.145-151
Víctor Raúl Wattiez Acosta, María Gloria Mendoza Quevedo, Luis Celías, V. Oddone, A. Caballero
Bullous pemphigoid is an autoimmune disease, characterized by subepidermal blisters, presenting in the direct immunofluorescence deposit mainly of IgG in the area of the basement membrane.
{"title":"Bollous pemphigoid related to vancomycin: about 2 cases","authors":"Víctor Raúl Wattiez Acosta, María Gloria Mendoza Quevedo, Luis Celías, V. Oddone, A. Caballero","doi":"10.18004/rdn2018.010.02.145-151","DOIUrl":"https://doi.org/10.18004/rdn2018.010.02.145-151","url":null,"abstract":"Bullous pemphigoid is an autoimmune disease, characterized by subepidermal blisters, presenting in the direct immunofluorescence deposit mainly of IgG in the area of the basement membrane.","PeriodicalId":52884,"journal":{"name":"Revista del Nacional Itaugua","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47326373","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}
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