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1.
Rev. méd. Chile ; 150(1): 46-53, ene. 2022. ilus, tab
Article in Spanish | LILACS | ID: biblio-1389617

ABSTRACT

BACKGROUND: Osteoarthritis (OA) is a health problem affecting millions of individuals worldwide. Aim: To evaluate risk factors for hip and knee osteoarthritis (OA) in women aged 40 to 59 years. MATERIAL AND METHODS: Analysis of a prospective cohort of 1159 women attending preventive health care programs and followed during 28 years. They underwent a clinical and laboratory evaluation from 1990 to 1993. The diagnosis of OA was retrieved from registries of a special program for osteoarthritis in 2020. RESULTS: Twenty four percent of participants developed osteoarthritis during the follow-up. At the beginning of the study and compared with women without OA, they were older (median [interquartile range or IQR]: 49.6 [8.5] and 47.2 [8.2] years respectively), had a higher body mass index (26.3 [5.3] and 25.1 [5.3] respectively), and a higher frequency of jobs with low qualification (76 and 62% respectively). The presence of type 2 diabetes mellitus, chronic hypertension, a previous history of alcohol or cigarette consumption, postmenopausal status and lipid and glucose blood levels did not differ between women with or without OA. Cox regression showed a final model that incorporates body mass index (hazard ratio (HR): 1.04; 95% confidence intervals (CI): 1.01-1.07), age (HR: 1.05; 95% CI: 1.03-1.08) and having an unqualified job (HR: 1.88; 95% CI: 1.43-2.47) as risk factors for OA. CONCLUSIONS: Obesity and the type of job are the most relevant risk factors found for OD: both may be modified with proper care.


Subject(s)
Humans , Female , Middle Aged , Osteoarthritis, Hip/diagnosis , Osteoarthritis, Hip/etiology , Osteoarthritis, Hip/epidemiology , Osteoarthritis, Knee/etiology , Osteoarthritis, Knee/epidemiology , Diabetes Mellitus, Type 2/complications , Prospective Studies , Risk Factors
2.
Rev. méd. Chile ; 146(10): 1170-1174, dic. 2018.
Article in Spanish | LILACS | ID: biblio-978752

ABSTRACT

The hormonal deficit of post menopause is not only linked to the classic hot flashes, but also to a higher risk of chronic diseases. Menopausal hormone therapy (MHT) adequately treats climacteric symptoms and can prevent some chronic diseases such as osteoporosis. The Women's Health Initiative (WHI) study, which indicated risks of MHT in elderly postmenopausal women, caused a massive withdrawal of this therapy. But, in recent years the results of the WHI have been challenged by methodological problems and by several studies indicating that, if MHT is initiated early and the non-oral route is preferred, the risks could be minimized and it could improve not only the quality of life but also reduce the risk of chronic diseases. However, the US Preventive Services Task Force (USPSTF) recommends against the use of MHT for the prevention of chronic diseases, a position that has been challenged by publications of the North American Menopause Society and the International Menopause Society. This controversy persists so far. We report data that suggest a preventive role of MHT in perimenopausal women.


Subject(s)
Humans , Female , Osteoporosis/prevention & control , Breast Neoplasms/prevention & control , Menopause , Cardiovascular Diseases/prevention & control , Hormone Replacement Therapy/methods , Dementia/prevention & control , Quality of Life , Chronic Disease/prevention & control , Risk Factors , Women's Health , Treatment Outcome
3.
Rev. méd. Chile ; 145(6): 760-764, June 2017. tab
Article in Spanish | LILACS | ID: biblio-902541

ABSTRACT

Menopause is associated with several symptoms which, if they reach certain intensity, can severely impair the quality of life. Overall, 90.9% of Latin American women will have at least one climacteric symptom and in 25%, these will be severe. Musculoskeletal pain, physical and mental fatigue and depressed mood are the most common climacteric symptoms. Dyspareunia, mood disorders and irritability can significantly alter female sexuality. Hot flashes are the symptoms most frequently related to menopause by both physicians and patients. However, it is one of the less common menopausal symptoms. This symptom reflects the neurochemical brain disorders caused by estrogen deficiency. The central nervous system (CNS) is also involved in changes of body composition leading to higher adipose tissue accumulation during climacterium, deteriorating quality of life and increasing the risk for chronic non-transmittable diseases. Menopausal discomfort also overloads health systems increasing the demand for medical services and decreasing productivity by labor absenteeism. Hormone therapy of menopause (HTM) decreases menopausal symptoms and improves quality of life. If we do not prescribe HTM to those women who need it, we could deprive them from several potential health benefits.


Subject(s)
Humans , Quality of Life , Climacteric/physiology , Menopause/physiology , Hormone Replacement Therapy , Climacteric/psychology , Menopause/psychology , Health Knowledge, Attitudes, Practice , Risk Assessment
4.
Rev. Assoc. Med. Bras. (1992) ; 58(4): 447-452, July-Aug. 2012. tab
Article in Portuguese | LILACS | ID: lil-646886

ABSTRACT

OBJETIVO: Estimar a prevalência da sonolência diurna excessiva (SDE) e identificar os fatores associados em mulheres de 35 a 49 anos de idade do "Projeto de Saúde de Pindamonhangaba" (PROSAPIN). MÉTODOS: O estudo foi observacional transversal com 372 mulheres com idade entre 35 e 49 anos selecionadas aleatoriamente da Estratégia Saúde da Família (ESF) do município de Pindamonhangaba, São Paulo, onde é desenvolvido o "Projeto de Saúde de Pindamonhangaba" (PROSAPIN). A SDE foi avaliada por entrevista utilizando a Escala de Sonolência de Epworth e os fatores associados por meio de questões que investigaram as características sócio-demográficas, a história ginecológica, a presença de comorbidades, o estilo de vida, a rotina de sono e o uso de medicamentos capazes de alterar o estado de alerta, além de mensuradas as variáveis antropométricas. Estimou-se a prevalência da SDE com intervalo de confiança de 95% (IC 95%) e foram identificados os fatores associados por meio de um modelo de regressão logística múltipla realizado no Programa Stata, versão 10.0. RESULTADOS: A prevalência da SDE foi de 18,5% (IC 95%: 14,7- 22,9) e os fatores associados foram: profissão relacionada a serviços domésticos (OR = 2,2; IC 95%: 1,1-4,3), nível de atividade física acima da média da população estudada (OR = 1,9; IC 95%: 1,1-3,4); e a presença de características sugestivas de ansiedade (OR = 1,9; IC 95%: 1,1-3,4). CONCLUSÃO: A prevalência da SDE em mulheres de 35 a 49 anos do PROSAPIN foi elevada e associada à característica sociodemográfica, à presença de comorbidades e ao estilo de vida.


OBJECTIVE: To estimate the prevalence of excessive daytime sleepiness (EDS) and to identify associated factors in women aged 35 to 49 years from the "Pindamonhangaba Health Project" (PROSAPIN). METHODS: This was a cross-sectional observational study of 372 women aged 35 to 49 years, randomly selected from the Family Health Strategy (FHS) program of the city of Pindamonhangaba, SP, Brazil, where the "Pindamonhangaba Health Project" (PROSAPIN) is being developed. EDS was assessed through interviews using the Epworth Sleepiness Scale and the associated factors through questions that investigated sociodemographic characteristics, gynecological history, presence of comorbidities, lifestyle, sleep routine, and use of drugs capable of altering the state of alertness; anthropometric variables were also measured. The prevalence of EDS was estimated with a 95% confidence interval (95% CI) and the associated factors were identified through a multiple logistic regression model performed with the Stata software, release 10.0. RESULTS: EDS prevalence was 18.5% (95% CI: 14.7-22.9) and the associated factors were: profession related to domestic services (OR = 2.2, 95% CI: 1.1-4.3), physical activity level above the mean of the study population (OR = 1.9, 95% CI: 1.1-3.4), and presence of features suggestive of anxiety (OR = 1.9, 95% CI: 1.1-3.4). CONCLUSION: The prevalence of EDS in women aged 35-49 years from PROSAPIN was high and associated with sociodemographic characteristics, presence of comorbidities, and lifestyle.


Subject(s)
Adult , Female , Humans , Middle Aged , Disorders of Excessive Somnolence/epidemiology , Women's Health/statistics & numerical data , Activities of Daily Living , Anxiety/complications , Brazil/epidemiology , Cross-Sectional Studies , Depression/complications , Disorders of Excessive Somnolence/etiology , Life Style , Motor Activity , Occupations , Prevalence , Socioeconomic Factors
5.
Rev. méd. Chile ; 137(3): 345-350, mar. 2009. tab
Article in Spanish | LILACS | ID: lil-518493

ABSTRACT

Background: The Female Sexual Function index (FSFI), is a scale designed to evaluate sexuality and diagnose the presence of sexual dysfunction in women. Aim: To apply the FSFI to climacteric women. Patients and methods: The FSFI was applied to 370 healthy women aged between 40 and 59years old (49 ± 6years) that accompanied patients to public health services in Santiago. Results: Fifty six percent of women were married, 44 percent were postmenopausal, 6 percent used hormone replacement therapy, 67 percent were sexually active, and sexual dysfunction was present in 57 percent of them. Thirty two percent of women aged between 40 and 44 years and 65 percent of women aged between 55 and 59 years, had sexual dysfunction (p <0.01). In a logistic regression model, the risk of sexual dysfunction increased among women that perceive having health problems (Odds ratio (OR) 3-9; 95 percento confidence intervals (95 percent CI): 1.1-13-8), women older than 48 years (OR 1.9; 95 percent CI: 1.1-3-4) and women that gave birth to two or more children (OR 1.8; 95 percent CI: 1.0-3-1). Conclusions: Climateric women have high prevalence of sexual dysfunction. Age is its main risk factor.


Subject(s)
Adult , Female , Humans , Middle Aged , Climacteric , Surveys and Questionnaires , Sexual Behavior/statistics & numerical data , Sexual Dysfunction, Physiological/epidemiology , Age Factors , Chile/epidemiology , Cross-Sectional Studies , Logistic Models , Mass Screening , Prevalence , Risk Factors , Sexual Dysfunction, Physiological/diagnosis
6.
MedUNAB ; 12(2): 80-85, 2009.
Article in Spanish | LILACS | ID: biblio-1005953

ABSTRACT

Introducción. Pocos estudios han comparado el impacto del climaterio en la calidad de vida (CV) en diferentes etnias latinoamericanas. Objetivo: Evaluar la CV en mujeres post-menopáusicas colombianas de tres etnias distintas. Material y método: Estudio descriptivo transversal que incluyó mujeres sanas entre 40 y 59 años de edad, pertenecientes a las etnias hispánicas, indígenas y negras. La población evaluada hace parte del Estudio Calidad de Vida en la Menopausia y Etnias Colombianas (Cavimec). El instrumento utilizado para valorar CV fue el Menopause Rating Scale. Resultados: Se estudiaron 579 mujeres postmenopáusicas, 153 hispánicas, 295 indígenas y 131 afrodescendientes. Las hispánicas tenían en promedio 55.3 (DE 3.3) años de edad, 6.4 (DE 3.5) años de escolaridad y habían presentado su menopausia a los 48.3 (DE 2.5) años. Comparadas con las hispánicas, las indígenas tenían una edad similar, menor escolaridad (2.2 [DE 1.8] años, p<0.0001) y mayor edad al inicio de su menopausia (49.5 [DE 3.0] años, p<0.0001). Las afrodescendientes eran más jóvenes que las hispánicas (53.4 [3.3] años, p<0.0001) y con menor escolaridad (4.6 [DE 4.4] años, p<0.0001). Las hispánicas tienen la mejor CV (MRS 8.6 [DE 5.7] puntos), seguidas por las afrodescendientes (13.7 [DE 7.0] puntos, p<0.001) y las indígenas (14.7 [DE 2.4] puntos, p<0.0001). Las afrodescendientes tienen un mayor deterioro psicológico (dimensión psicológica 5.9 [DE 2.9] puntos) que las hispánicas (2.7 [DE 2.6] puntos, p<0.0001) o las indígenas (3.1 [DE 1.6] puntos, p<0.0001), y presentan más síntomas somáticos (dimensión somática 6.5 [DE 3.3] puntos, 4.6 [DE 2.9] puntos, y 5.3 [1.7] puntos, respectivamente; p<0.0001). Las indígenas presentan mayor sintomatología urogenital (dimensión urogenital 6.2 [DE 1.3] puntos) que las hispánicas (1.3 [DE 2.3] puntos, p<0.0001) y las afrodescendientes (1.1 [DE 1.9] puntos, p<0.0001). Conclusión: Las mujeres postmenopáusicas hispánicas tienen menos compromiso de calidad de vida que las mujeres indígenas o afrodescendientes. Las afrodescendientes presentan más severidad de síntomas psicológicos y somáticos, mientras que las indígenas presentan más sintomatología del área urogenital. [Monterrosa A, Blumel JE, Chedraui P. Calidad de vida de mujeres en postmenopausia. Valoración con "Menopause Rating Scale" de tres etnias colombianas diferentes. MedUNAB 2009; 12:80-85].


Abstract. Few studies have compared the impact of climacteric in life quality (LQ) in the different ethnic groups in Latin America. Objective: Evaluate the CV in postmenopausal Colombian women in three different ethnic groups. Material and Method: A descriptive cross-sectional study was done among healthy women aged between 40 and 59 years and who belong to Indigenous, Afrocaribbean or Hispanic ethnic groups. The assessed population is part of Life Quality in Menopause in Colombian Ethnic Groups Study (Cavimec). The instrument used to assess LQ was Menopause Rating Scale (MRS). Results: 579 menopausal women were studied, 153 Hispanic, 295 Indigenous, and 153 Afrocaribbean. Hispanic women were 55,3 (SD 3,3) years-old on average, had 6,4 (SD 3,5) years of school, they had been menopausal at 48,3 (SD 2,5) years old. Indigenous women were similar age to Hispanic women, but had less years of school (2,2 [SD 1,8], p<0,0001), and were older in their menopause time (49,5 [SD 3,0] years). Afrocaribbean women were younger (53,4 [3,3] years old, p<0,0001) and had less years of school (4,6 [SD 4,4], p<0,0001) than Hispanic women. Hispanic women have a better LQ (MRS score 8,6 [SD 5,7]) than Afrocaribbean women (13,7 [SD 7,0], p<0,001) or Indigenous women (14,7 [2,4]; p<0,0001). Afrocaribbean women had a greater psychological compromise (psychological score 5,9 [SD 2,9]) than Hispanic women (2,7 [SD 2,6], p<0,0001) or Indigenous women (3,1 [SD 1,6], p<0,0001); they presented a higher somatic symptoms (score 6,5 [SD 3,3], 4,6 [SD 2,9], and 5,3 [1,7], respectively; p<0,0001). By the other hand, Indigenous women had a greater urogenital symptomatology (score 6,2 [SD 1,3]) than Hispanic women (1,3 [SD 2,3], p<0,0001), or Afrocaribbean women (1,1 [SD 1,9], p<0,0001). Conclusion: Postmenopausal Hispanic women have less life compromise than Indigenous or Afrocaribbean women; these women present a greater severity in psychological and somatic symptoms. Indigenous women present more symptomatology in the urogenital area. [Monterrosa A, Blumel JE, Chedraui P. Women's life quality in the post menopause. Evaluation with "Menopause Rating Scale" in three different ethnic Colombian groups. MedUNAB 2009; 12:80-85].


Subject(s)
Postmenopause , Quality of Life , Menopause , Hispanic or Latino , Black People
7.
MedUNAB ; 11(2): 113-119, abr.-jul. 2008. tab
Article in Spanish | LILACS | ID: biblio-834841

ABSTRACT

Introducción: Es diferente la prevalencia y la severidad de los síntomas relacionados con la menopausia cuando se evalúan diferentes grupos étnicos o poblacionales. Se ha señalado que las mujeres de raza negra pueden tener mayor riesgo de oleadas de calor que las mujeres caucásicas. Objetivos: Evaluar la frecuencia y severidad de síntomas menopáusicos entre mujeres afro descendientes colombianas. Método: Estudio transversal, parte del proyecto CAVIMEC (Calidad de vida en la menopausia y etnias colombianas), realizado en mujeres afro descendientes colombianas entre 40 y 59 años. Fueron evaluadas con Menopause Ranting Scale (MRS) para establecer la frecuencia e intensidad de síntomas menopáusicos. Resultados: 201 mujeres afro descendientes colombianas fueron incluidas. La edad promedio fue de 47.2±5.2 años,estando el 43% en premenopausia, 18% en perimenopausia y 38% en postmenopausia; el tiempo promedio desde la última regla fue de 3.2±2.7 años y con edad promedio de la menopausia fue 45.9±4.8 años; el 50% de las pacientes con menopausia natural. La mitad de las participantes manifestó tener síntomas de menopausia, siendo moderados en el 28% y severos o muy severos en el 9%. El 77% presenta síntomas musculares o articulares, 54% oleadas de calor, 64% irritabilidad y 16% problemas vesicales. La puntuación de MRS fue: dimensión somático-vegetativa 5.0±3.3, psicológica 4.8±3.3 y global 10.6±6.3. Conclusión: En mujeres afro descendientes colombianas se observa elevada puntuación en la escala MRS, dada por una elevada presencia de síntomas somático-vegetativos y psicológicos La puntuación observada supera significativamente la de otras poblaciones tomadas como referente.


Background: The existence and intensity of the symptoms related to menopause are different when evaluating different ethnic or population groups. It has been stated that black race women are prone to a bigger risk of heat waves than white women. Objective: To evaluate the frequency and intensity of the menopause symptoms among afro descendant Colombian women. Method: Transversal study, part of the CAVIMEC Project (Quality of life in menopause and Colombian ethnic groups), made with afro descendant Colombian women aged between 40 and 59 years old, who were evaluated through the Menopause Rating Scale (MRS) in order to determine the frequency and intensity of menopause symptoms. Results: 201 women were included; their average age was 47.2±5.2 years; 43% were in pre-menopause, 18% in peri-menopause and 38% in post-menopause. They rated 3.2±2.7 years since their last menstruation, and their menopause average age were 45.9±4.8; 50% had natural menopause. Half of participants had menopause symptoms, 28% mild and 9% severe to very severe; 77% had muscle or articulation symptoms, 54% heat waves, 64% irritability and 16% vesicle problems. The MRS score: somatic-vegetative dimension 5.0±3.3, psychological 4.8±3.3 and global punctuation 10.6±6.3. Conclusion: In afro descendant women it is observed a high MRS score due to a high presence of somatic-vegetative and psychological symptoms. The observed punctuation rises above those taken in other populations in a significant way.


Subject(s)
Colombia , Ethnicity , Gynecology , Menopause , Obstetrics
8.
Rev. colomb. menopaus ; 9(2): 105-114, abr.-jun. 2003. tab, graf
Article in Spanish | LILACS | ID: lil-354580

ABSTRACT

Los gestágenos son sustancias químicas que inducen una transformación secretora del endometrio. De la testosterona derivaron fármacos con propiedades progestácionales, los 19- norderivados (levonorgestrel, noretisterona, dexogestrel, etc). De la progesterona se obtuvieron los pregnanos (medroxiprogesterona, megestrol, ciproterona, etc). En los últimos años se ha logrado producir progesterona natural oral. La medroxiprogesterona se ha usado ampliamente en anticoncepción y terapia de reemplazo hormonal (TRH). El estudio WHI ha sugerido que la medroxiprogesterona podría ser responsable de algunos efectos negativos de la TRH. Algunas investigaciones sugieren que la medroxiprogesterona de depósito aumenta ligeramente el riesgo de cáncer de mama; su uso en postmenopáusicas se asocia a mayor densidad mamográfica, un conocido factor de riesgo, y en cultivos celulares tiene un efecto proliferativo; además, se ha descrito un mayor riesgo en hormonoterapia que incluye gestágenos. Desde el punto de vista cardiovascular, aunque en dosis bajas la medroxiprogesterona no modifica sustancialmente el perfil lipídico, sí altera la función endotelial, no afecta la coagulación, pero puede aumentar los receptores de trombina. No hay estudios claros que permitan identificar con seguridad si la medroxiprogesterona tiene efectos deletéreos. Sin embargo, algunas observaciones sugieren cautela en pacientes con riesgo elevado de cáncer de mama o de enfermedad cardiovascular


Subject(s)
Medroxyprogesterone Acetate
9.
Medicina (B.Aires) ; 62(1): 57-65, 2002. tab
Article in Spanish | LILACS | ID: lil-305547

ABSTRACT

Menopausal transition is a period that begins four years before menopause as a result of follicular decline. The first hormonal change is a decrease in B inhibin levels, followed by a decrease in estradiol and an increase in FSH levels; abrupt plasmatic oscillations of these hormones can be observed. Climacteric symptomatology may appear before cycle disorders and provoke an impairment in quality of life. Bone loss equally precedes menopause. Some authors, but not all of them, accept that during perimenopause there is an increased risk of cardiovascular disease. We point out the need of beginning hormonal therapy when the first clinical signs of estrogenic deficiency arise, independent of menstrual cycle and hormonal levels. Women aged over 45 are suitable for the classical sequential therapy, adjusting it to the cycle while it still persists; younger patients may use transdermal estrogens for short periods of time. Whenever contraception is required or there is irregular bleeding we indicate low dose estrogenic contraceptives, if possible the 28 days of the cycle. It is necessary to correct potentially dangerous daily habits and treat concomitant diseases that may enhance cardiovascular risk. The patient's education is an indispensable goal for the success of the treatment.


Subject(s)
Animals , Female , Adult , Middle Aged , Menopause , Cardiovascular Diseases , Contraception , Estrogen Replacement Therapy , Hot Flashes , Menopause , Osteoporosis, Postmenopausal , Risk Factors
10.
Rev. colomb. menopaus ; 4(2): 138-140, mayo-ago. 1998.
Article in Spanish | LILACS | ID: lil-337918
11.
Rev. chil. pediatr ; 58(1): 29-33, ene.-feb. 1987. tab
Article in Spanish | LILACS | ID: lil-40238

ABSTRACT

Para estimar la frecuencia de recaídas y los factores que podrían influir en ella, se estudiaron 61 niños con epilepsia que habían sido tratados por 5 años, libres de crisis, y observados por lo menos durante 2 años después de suspendidos los medicamentos. En 29,5% de los pacientes se registraron recaídas, la mayoría de ellas dentro de los dos primeros años desde que se inició el retiro de los fármacos. Las recaídas se relacionaron significativamente con mala evolución durante el tratamiento, ingestión de 2 o más drogas anticonvulsivas, más de una cura de 5 años con medicamentos antes de la actual. No se encontraron relaciones significativas con sexo, antecedentes familiares de epilepsia, tipo de crisis, edad de inicio y número de crisis previas al tratamiento


Subject(s)
Infant , Child, Preschool , Child , Humans , Male , Female , Anticonvulsants/therapeutic use , Epilepsy/drug therapy , Chile
12.
Bol. Hosp. San Juan de Dios ; 33(6): 411-6, nov.-dic. 1986.
Article in Spanish | LILACS | ID: lil-40172

ABSTRACT

Se comenta brevemente la fisiología cardíaca y su relación con los mecanismos de acción de las hormonas tiroideas. Las principales manifestaciones cardíacas inducidas por el hiper y el hipotiroidismo se analizan tanto en su fisiopatología como en su sintomatología. Son destacados en forma especial algunos aspectos como el comprimiso miocárcido, trastornos del ritmo, insuficiencia cardíaca, diagnóstico diferencial con cardiopatías de otra etiología, estudio diagnóstico y algunas consideraciones sobre terapéutica


Subject(s)
Heart Diseases/physiopathology , Thyroid Hormones/metabolism , Hyperthyroidism/complications , Hypothyroidism/complications , Thyroid Diseases/complications
13.
Bol. Hosp. San Juan de Dios ; 33(5): 304-311, sept.-oct. 1986. ilus, tab
Article in Spanish | LILACS | ID: lil-40177

ABSTRACT

Se analiza una casuística de 273 pacientes portadores de nódulos únicos fríos de la glándula tiroides, estudiados e intervenidos quirúrgicamente en un período de 10 años en el Hospital Barros Luco- Trudeau. La causa más frecuentes de nódulos únicos fríos la constituyeron los adenomas tanto sólidos como quísticos (56,8%) en tanto que el 27,5% de los casos correspondieron a cánceres tiroideos y el 14,3% a bocios multinodulares. Aunque el cáncer del tiroides se observa más en la mujer que en el hombre (proporción de 5 a 1), el grupo con mayor riesgo estuvo representado por los hombres jóvenes en los cuales el 67% de los nódulos únicos fríos fueron malignos. El cáncer tiroideo más frecuente fue el papilar (54%) seguido por el folicular (28%); el medular (13%) y el anaplástico (5%). La punción biopsia con aguja fina fue orientadora de patología maligna en 39 de 75 casos (52%). El diagnóstico falso positivo sólo se planteó en 3 casos. Un hecho destacable fue el hallazgo de otra patología tiroidea asociada al nódulo en el 12,5% de los casos. Se concluye que el nódulo único frío del tiroides es una lesión que encierra alto riesgo potencial de malignidad especialmente en los hombres jóvenes y que en su estudio la punción biopsia cumple un rol que, aunque importante, no debe se sobreestimado


Subject(s)
Child , Adolescent , Adult , Middle Aged , Humans , Male , Female , Biopsy, Needle , Thyroid Neoplasms/pathology , Thyroid Neoplasms/surgery
14.
Rev. chil. obstet. ginecol ; 51(3): 237-51, jun. 1986. ilus, tab
Article in Spanish | LILACS | ID: lil-40109

ABSTRACT

Se analizan sensibilidad y valor predictivo de la prueba no estresante en 547 embarazadas en control en el Servicio de Obstetricia y Ginecología, Hospital Barros Luco-Trudeau. Se relaciona la última prueba no estresante, relizada dentro de un lapso menor o igual a siete días del parto, en el Apgar a los 5 minutos en el recién nacido. Se comprueba alto valor de predicción (98%). El referido valor de predicción es bajo (2,9%), y por tanto, frente a una prueba no estresante reactiva debe complementarse la vigilancia mediante otras pruebas (ultrasonografía y otras). En caso de embarazo prolongado debe prestarse especial atención a la presencia de desaceleraciones


Subject(s)
Pregnancy , Humans , Prenatal Diagnosis/methods , Fetal Monitoring/methods , Chile
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