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Background: The Araucania region in Chile had the greatest COVID-19 incidence and lethality in Chile Aim: To describe the clinical characteristics and evolution of patients admitted for COVID-19 in a high complexity Hospital in the region of La Araucanía-Chile. Material and Methods: Review of medical records of the first 169 patients aged 55 ± 17 years (50% women) admitted for COVID-19 between march and may, 2020 at a regional hospital in Temuco Chile. Results: The most common comorbidities of these patients were hypertension, diabetes, and obesity. The symptom triad of cough, dyspnea and fever was present in 85%. Less frequent symptoms were diarrhea and vomiting. Biomarkers at admission such as ferritin, D-dimer, among others, were significantly higher among patients who required admission to the Intensive Care Unit. The presence of cough, dyspnea and fever were significantly associated with longer hospitalization time and requirement for mechanical ventilation. Hypertension and obesity were significantly associated with longer hospitalization stay. Eight percent of patients died. Conclusions: Symptoms such as cough, dyspnea and fever and specific biomarkers on admission were associated with a worse evolution of adult inpatients with COVID-19.
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Introducción: Según la OMS, más del 50% de la población adulta está infectada con el Helicobacter Pylori, con prevalencias de hasta el 90%. La mayoría de contagios se produce antes de los 10 años de edad. Desde el des-cubrimiento del H. Pylori (1983), se lo ha relacionado con la úlcera péptica, gastritis, reflu-jo gastroesofágico e incluso, cáncer gástrico. Metodología: Se realizó un estudio transver-sal analítico. La muestra estuvo conformada por 250 niños escolares de la etnia Shuar del cantón Sucúa. La prueba utilizada para la detección del Helicobacter pylori es la identi-ficación de antígenos en las heces por inmunocromatografía. Para establecer la signifi-cancia de asociación de variables se utilizó el OR con su intervalo de confianza al 95%. Resultados: El promedio de edad fue de 8.8 años (DS 2.0), con predominio de las mujeres (54.4%). El 56.4% consume agua potable, el 71.65% vive en hacinamiento, el 42% tiene servicios de letrinización y el 49.2% cuenta con servicios de alcantarillado. Se encontró asociación significativa con el nivel de ins-trucción OR 1.68, IC95% (1 2.84), p=0.049; le-trinización OR 1.99, IC95% (1.17 3.36), p=0.01; deposiciones al aire libre OR 4.32, IC95% (2.13 8.77), p=0.000.Conclusiones: La prevalencia de Helicobacter pylori es alta en la población escolar de la etnia Shuar; está asociada a un nivel bajo de instrucción de los progenitores y una inade-cuada infraestructura de servicios básicos.
Introduction: According to the WHO, more than 50% of the adult population is infected with Helicobacter Pylori, with prevalence ra-tes of up to 90%. Most infections occur befo-re 10 years old. Since the H. Pylori appeared (1983), it has been associated with peptic ulcer, gastritis, gastroesophageal reflux and even gastric cancer.Methodology: A cross-sectional study was conducted. The sample was formed by 250 Shuar school children from Sucúa. The test used for the detection of Helicobacter pylori is the identification of antigens in the feces by immunochromatography. To establish the sig-nificance of variables association the OR was used with a 95% confidence interval.Results: The average age was 8.8 years (SD 2.0), with women predominance (54.4%). The 56.4% consumes drinking water, the 71.65% li-ves in overcrowding, a 42% has latrine service and 49.2% has sewerage service. A significant association with the level of education OR 1.68, 95% CI (1 - 2.84), p = 0.049; latrines OR 1.99, 95% CI (1.17 - 3.36), p = 0.01; outdoor fe-ces OR 4.32, 95% CI (2.13 - 8.77), p = 0.000 was found.Conclusions: The prevalence of Helicobacter pylori is high in the Shuar school population; It is associated with a low level of parents edu-cation and inadequate infrastructure of basic services.
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Humans , Male , Female , Child , Prevalence , Helicobacter pylori , Health of Ethnic Minorities , Public Health , Disease Transmission, Infectious , Life StyleABSTRACT
Entre 1976 y 1990 hemos tratado 14 pacientes (1,04 por ciento de nuestro quehacer quirúrgico) portadores de deformidades graves del peto anterior torácico. Necesitaron 19 intervenciones con 0 por ciento mortalidad y 47 por ciento de morbilidad dada fundamentalmente por seromas. Los resultados cosméticos subjetivos para el equipo quirúrgico fueron buenos en 78 por ciento , siendo menos satisfactorio para el enfermo y su familia. Son todos casos de deformidad severa. Proponemos reemplazos esternales con malla de Marlex y/o turn over como primera operación en casos seleccionados