Pyoderma gangrenosum in a patient with type 2 diabetes: a case report / Pioderma gangrenosa en un paciente diabético tipo 2: reporte de un caso

We are presenting a case of patient with type 2 diabetes mellitus that was diagnosed with a soft tissue infection in the lower extremity. This was initially treated as cellulitis and antibiotic treatment was initiated. Due to a poor clinical response, the diagnosis of pyoderma gangrenosum was proposed as part of the differential diagnosis. Skin biopsies and pathology confirmed the diagnosis of pyoderma gangrenosum that had a satisfactory response to steroid treatment

Se presenta el caso de una paciente diabética tipo 2 que inicialmente fue diagnosticada como una celulitis complicada del miembro inferior izquierdo, pero ante la pobre respuesta con el tratamiento antibiótico, se consideró el diagnóstico de pioderma gangrenosa, confirmado anatomopatológicamente, con respuesta satisfactoria al tratamiento esteroideo tópico

Impact of smoking on gingival inflammation in representative samples of three South American cities

Abstract The aim of this study was to investigate the impact of smoking on gingival inflammation in a representative sample of 1,650 adults from Santiago (Chile), Porto Alegre (Brazil), and Tucumán (Argentina). A questionnaire was administered to participants to gather demographic and behavioral characteristics, including smoking habits. The participants were clinically examined to obtain gingival index (GI), gingival bleeding index (GBI), visible plaque index (VPI), and calculus presence values. Gingival inflammation was defined as a mean GI > 0.5. Heavy smokers presented significantly lower levels of gingival inflammation, as reflected by both GI and GBI, than both light and moderate smokers, despite their having increased amounts of plaque and calculus. Being 50 years old or older [odds ratio (OR), 1.93], a VPI ≥ 30% (OR, 28.1), and self-reported diabetes (OR, 2.79) were positively associated with detection of gingival inflammation. In conclusion, the occurrence of clinically detectable gingival inflammation was lower in heavy smokers than light and moderate smokers. Older age, diabetes, and visible plaque emerged as risk indicators of gingivitis. Plaque and gingival indices are significantly associated regardless of the smoking status.

A multicenter study of oral health behavior among adult subjects from three South American cities

Abstract The aims of this study were to describe the self-reported oral hygiene habits, dental visit frequency, and gingival bleeding perception in adult populations from three South American cities, and also to assess the association of these variables with sociodemographic data and with the clinical presence of plaque and gingival inflammation. Five-hundred and fifty adult subjects from each city (Porto Alegre, Brazil; Tucumán, Argentina; Santiago, Chile) received full mouth examinations to determine visible plaque and gingival index. A structured questionnaire on demographics, habits, attitudes and knowledge of oral health was also administered. The data were analyzed according to dental visit frequency, toothbrushing frequency, interproximal tooth cleaning frequency, subjects' perception of gum bleeding, and proportion of subject sites with VP and bleeding sites. Analysis of the association among the variables was performed using either a chi-square test or Fischer's exact test. Toothbrushing twice a day or more was reported by 84.2% of the subjects, but only 17.7% reported daily interdental cleaning, and 60.2% reported visiting a dental clinic only in an emergency. Only 2.97% had no bleeding sites, whereas 33.7% had 50% or more bleeding sites. Regular interdental self-cleaning and a dental visit every 3-6 months was associated with less plaque and less gingival bleeding. More than 12 years of education was associated with healthier habits, less bleeding and plaque scores. In conclusion, the oral health behavior of South American adult subjects from these cities is below the international recommendations, especially in relation to interdental cleaning and regular dental visits.

Prevalence, severity, and risk indicators of gingival inflammation in a multi-center study on South American adults: a cross sectional study

ABSTRACT Objectives: The aim of this study is to investigate the prevalence and severity of gingival inflammation and associated risk indicators in South American adults. Material and Methods: Multi-stage samples totaling 1,650 adults from Porto Alegre (Brazil), Tucumán (Argentina), and Santiago (Chile) were assessed. The sampling procedure consisted of a 4-stage process. Examinations were performed in mobile dental units by calibrated examiners. A multivariable logistic regression model was utilized for associating variables as indicators of gingival inflammation (GI) (Gingival Index ≥0.5). Statistical significance was set at 0.05. Results: A total of 96.5% of the adults have GI. Regarding the severity of GI, 22.5% of participants examined have mild GI, 74.0% have moderate GI, and 3.6% have severe GI. The multivariate analyses identify the main risk indicators for GI as adults with higher mean of Calculus Index (OR=18.59); with a Visible Plaque Index ≥30% (OR=14.56); living in Santiago (OR=7.17); having ≤12 years of schooling (OR=2.18), and females (OR=1.93). Conclusions: This study shows a high prevalence and severity of gingival inflammation, being the first one performed in adult populations in three cities of South America.

Atención médica de los privados de libertad alojados en el complejo carcelario n°1 de Bower-Córdoba desde una mirada de derechos humanos

Durante doce meses se ha analizado la demanda de consultas médicas de las personas privadas de libertad que están alojadas en los distintos módulos del complejo carcelario N° 1 de Bower de Córdoba, Argentina. Con todos estos números estadísticos se ha buscado perfiles epidemiológicos, prevalencias de enfermedades y caracterizaciones que refleje el estado de salud-enfermedad de la población privada de libertad en este establecimiento carcelario. Conseguidos estos perfiles se elabora una reflexión desde la perspectiva de los derechos humanos de lo que deberían ser y de lo que es la atención médica en las cárceles.

SUMMARY: For twelve months have analyzed the demand for medical consultations of the detainees are housed in the different modules of prison complex Bower No. 1 of Cordoba,Argentina. With all these statistical numbers has sought epidemiological profiles, prevalence of diseases and characterizations that reflects the health-disease prison population in this prison facility. Got these profiles reflection is made from the perspective of human rights than they should be and what are the medical care in prisons.

Tratamiento de la obesidad exógena con homeopatía / Treatment of exogenous obesity with homeopathy

Se realizó un estudio prospectivo con casos y controles de pacientes portadores de obesidad exógena en la Clínica Provincial de Medicina Natural y Tradicional de Sancti-Spíritus, durante el año 1998, con el objetivo de demostrar la efectividad de la Homeopatía en esta afección, por su alta prevalencia a escala mundial, nacional y provincial; constituyendo un motivo de consulta en nuestra práctica profesional cotidiana, donde acuden pacientes obesos demandando resolución de su situación mediante técnicas terapéuticas natural y por constituir una parte de riesgo importante de un gran número de patologías crónicas, se decidió investigar la solución de este problema. El grupo de pacientes (casos) que recibió tratamiento Homeopático obtuvo el peso ideal en el 65% de los casos en un tiempo de 6 meses en ambos grupos. Ocupando la prevalencia en estos resultados el sexo femenino en la edad comprendida de 30-39 años. Se asociaron con mayor frecuencia a estos padecimientos la afección psicológica, la HTA, Hipercolesterolemia. Lo antes expuesto afirma la efectividad del medicamento constitucional homeopático para corregir las alteraciones de las fuerzas en estos individuos[AU]