Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 9 de 9
Filtrar
1.
Rev. Paul. Pediatr. (Ed. Port., Online) ; 41: e2022032, 2023. tab, graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1422840

RESUMEN

Abstract Objective: To describe the development of a website and the creation of a social network account about pediatric allergy/immunology with reliable information, to promote education and have a channel for patient-doctor contact. Methods: This is a descriptive study. A survey was conducted with 93 patients (12 years and older) and caregivers of a Pediatric Allergy/Immunology outpatient clinic, to assess internet usage patterns of potential users. A webpage in Portuguese and an Instagram® account were launched in which it was created an area for patient-doctor communication in the pandemic context. Results: Among 93 participants, 77% were female, 82% caregivers. Median age was 33.2 years, family income 403 dollars/month. The internet was accessed via smartphone by 81,7% of the participants; 76% reported using internet to access health information but 72% did not trust on the information from the internet, and 96% believed that an institutional site could provide meaningful information. From the website release in November 6, 2018 to January 20, 2022, it was counted 10,062 page views by 4,896 users; 55% were 18-34 years old, 70.2% female. Instagram® account gathered 882 followers. Website went through a period of instability during which access were not counted. Due to social isolation during COVID-19 pandemic, the website served as a tool for first response to help patients and doctors. Conclusions: Patients and caregivers of the Pediatric Allergy/Immunology service, consulted about digital tools, considered the information supported by a teaching/research institution timely and relevant. The website and Instagram® account have both performed well and shown good return in relation to hits, and results are continuously being evaluated. During COVID-19 pandemic, the website has been connecting patients/families and doctors.


RESUMO Objetivo: Descrever o desenvolvimento de um website e a criação de uma conta em rede social sobre alergologia/imunologia pediátrica com informações confiáveis, para promover educação e ter um canal de contato paciente-médico. Métodos: Trata-se de um estudo descritivo. Um questionário foi aplicado a 93 pacientes (12 anos de idade ou mais) e cuidadores frequentadores de um ambulatório de alergologia/imunologia pediátrica, para abordar o padrão de uso de internet de potenciais usuários. Lançou-se um website em português e uma página no Instagram®, nos quais foi criada, no contexto da pandemia, uma área para comunicação paciente-médico. Resultados: Dos 93 participantes, 77% eram mulheres, 82% cuidadores, com idade mediana de 33,2 anos e renda mensal de 403 dólares. A internet foi acessada via smartphone por 81,7% dos participantes; 76% relataram usar a internet para informações em saúde, mas 72% não confiavam nessa informação, e 96% acreditavam que um site institucional poderia prover informações seguras. Do lançamento do website em 6 de novembro de 2018 até 20 de janeiro de 2022, contabilizaram-se 10.062 visualizações de páginas por 4.896 usuários; 55% tinham idade entre 18 e 34 anos, 70,2% eram mulheres. A página no Instagram® reuniu 882 seguidores. O website apresentou período de instabilidade, sem registrar acessos. Em razão do isolamento social durante a pandemia de COVID-19, o website apresentou-se como ferramenta de primeira linha para auxiliar pacientes e médicos. Conclusões: Pacientes e cuidadores do ambulatório de Alergologia/Imunologia Pediátrica, consultados sobre ferramentas digitais, consideraram as informações fornecidas por uma instituição de ensino/pesquisa como oportunas e relevantes. O website e a página do Instagram® têm apresentado bom desempenho e visualização, e os resultados estão sendo continuamente avaliados. Durante a pandemia de COVID-19, o website tem conectado pacientes/familiares e médicos.

2.
Rev. inf. cient ; 101(4): e3773, jul.-ago. 2022. tab
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1409561

RESUMEN

RESUMEN Introducción: La urticaria crónica es una enfermedad heterogénea delimitada de la piel caracterizada por el desarrollo de ronchas o habones. Objetivo: Determinar las características clínicas y el tratamiento farmacológico indicado en pacientes con diagnóstico de urticaria crónica. Método: Se realizó un estudio cuantitativo, prospectivo, observacional y descriptivo en un universo de 48 pacientes con diagnóstico de urticaria crónica, Hospital Militar Principal, Guinea-Bisáu, 2018-2020. Se midieron las variables: edad, sexo, tipo de urticaria, tiempo de evolución, comorbilidad y tratamiento utilizado en la primera y última consulta registrada, así como la actividad de la enfermedad. Resultados: La edad media fue de 38,52 años con predomino del sexo femenino. El tiempo medio de evolución de la enfermedad fue de 4,67 años y el 70,83 % no presentó angioedema. La urticaria crónica espontánea fue el tipo predominante. La ciproheptadina fue el tratamiento más indicado al inicio del tratamiento y al término del seguimiento su uso se incrementó. El montelukast fue el otro medicamento que incremento su uso al término del seguimiento. La actividad de la enfermedad se redujo con el tratamiento a índices reconocidos como urticaria crónica espontánea controlada. Conclusiones: La urticaria crónica en Guinea-Bisáu tiene una prevalencia y manifestaciones clínicas acorde a lo reportado a nivel mundial con esquemas de tratamiento susceptibles de modificaciones según el inicio del uso de medicamentos recomendados como ciclosporina u omalizumab.


ABSTRACT Introduction: Chronic urticaria is a heterogeneous demarcated skin disease characterized by the development of wheals or hives. Objective: Determination of the clinical characteristics and the pharmacological treatment indicated in patients diagnosed with chronic urticaria. Method: A quantitative, prospective, observational and descriptive study was conducted in a total of 48 patients (the universe) diagnosed with chronic urticaria, Main Military Hospital, Guinea-Bissau, 2018-2020. The following variables were used: age, sex, type of urticaria, time of evolution, comorbidity and treatment used in the first and last recorded consultation, as well as disease activity. Results: The mean age was 38.52 years with a female predominance. The mean time of evolution of the disease was 4.67 years and 70.83% did not present angioedema. Chronic spontaneous urticaria was the predominant type. cyproheptadine was the treatment most indicated to be used at baseline and at the end of treatment follow-up its use increased. montelukast was the other drug that increased its use at the end of follow-up. With the treatment used disease activity was reduced up to rates recognized as controlled chronic spontaneous urticaria. Conclusions: Chronic urticaria in Guinea-Bissau has prevalence and clinical manifestations in line with those reported worldwide, with treatment regimens susceptible to modifications depending on the early use of recommended drugs such as cyclosporine or omalizumab.


RESUMO Introdução: A urticária crônica é uma doença heterogênea delimitada da pele caracterizada pelo desenvolvimento de urticária ou urticária. Objetivo: Determinar as características clínicas e o tratamento farmacológico indicado em pacientes com diagnóstico de urticária crônica. Método: Estudo quantitativo, prospectivo, observacional e descritivo realizado em um universo de 48 pacientes com diagnóstico de urticária crônica, Hospital Militar Principal, Guiné-Bissau, 2018-2020. As variáveis foram mensuradas: idade, sexo, tipo de urticária, tempo de evolução, comorbidade e tratamento utilizado na primeira e última consulta registrada, bem como a atividade da doença. Resultados: A média de idade foi de 38,52 anos com predomínio do sexo feminino. O tempo médio de evolução da doença foi de 4,67 anos e 70,83% não apresentavam angioedema. A urticária crônica espontânea foi o tipo predominante. A ciproeptadina foi o tratamento mais indicado no início do tratamento e ao final do seguimento seu uso aumentou. O montelucaste foi a outra droga que aumentou seu uso ao final do seguimento. A atividade da doença foi reduzida com o tratamento para taxas reconhecidas como urticária crônica espontânea controlada. Conclusões: A urticária crônica na Guiné-Bissau tem prevalência e manifestações clínicas compatíveis com a relatada mundialmente, com esquemas de tratamento que podem ser modificados dependendo do início do uso de medicamentos recomendados como ciclosporina ou omalizumabe.

3.
Rev. medica electron ; 44(3)jun. 2022.
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1409747

RESUMEN

RESUMEN Introducción: la rinitis alérgica es una enfermedad inflamatoria crónica de la mucosa nasal, alérgeno-específica, con participación de diversas células. Objetivo: determinar la prevalencia de rinitis alérgica y sus factores de riesgo en estudiantes en dos regiones de Guinea Bissau. Materiales y Métodos: se realizó un estudio cuantitativo, transversal y analítico en un universo de 2 008 estudiantes de 7ª a 12ª clase, en las regiones de Gabú y Bafatá, en Guinea Bissau, entre 2019 y 2020. Se utilizó el Cuestionario diagnóstico de rinitis alérgica para estudios epidemiológicos y el Cuestionario para identificar los factores de riesgo en rinitis alérgica. Los datos del estudio propuestos a medir fueron extraídos de las encuestas. Se solicitó autorización de las autoridades de las instituciones. Resultados: la prevalencia de rinitis alérgica fue del 17,77 %. La media de edad fue mayor en la región de Bafatá (17,34 años), con predominio del sexo femenino en ambas regiones (51,71 % vs. 51,97 %). Resultaron factores de riesgo en ambas regiones -con alto nivel de significación estadística- el sexo femenino (OR: 1,92 / 1,64), el antecedente familiar de la enfermedad (OR: 9,68 / 10,82) y el antecedente de enfermedad recurrente de vías respiratorias superiores (OR: 6,43 / 5,33). Factores como la humedad no resultaron de riesgo (OR: 0,71 / 0,93). Conclusiones: la rinitis alérgica es una condición frecuente en población joven en Guinea Bissau. El antecedente familiar de atopia y el antecedente personal de enfermedad recurrente de vías respiratorias superiores resultaron de un nivel de significación estadística muy alto.


ABSTRACT Introduction: allergic rhinitis is a chronic, allergen-specific, inflammatory disease of the nasal mucosa, involving various cells. Objective: to determine the prevalence of allergic rhinitis and its risk factors in students in two regions of Guinea Bissau. Materials and methods: a quantitative, cross-sectional and analytic study was carried out in a universe of 2,008 students from 7th to 12th class, in the regions of Gabú y Bafatá, in Guinea Bissau, between 2019 and 2020. The Diagnostic Questionnaire of Allergic Rhinitis for Epidemiologic Studies and the Questionnaire to Identify the Risk Factors in Allergic Rhinitis were used. The study data proposed to be measured were drawn from the surveys. It was asked authorization from the authorities of the institutions. Results: the prevalence of allergic rhinitis was 17.77 %. The mean age was higher in Bafatá region (17.34 years), with female predominance in both regions (51.71 % vs. 51.97 %). Risk factors found in both regions-with a high level of statistical significance-were female sex (OR: 1.92 / 1.64), family history of disease (OR: 9.68 / 10.82), and history of recurrent upper respiratory disease (OR: 6.43 / 5.33). Factors like humidity were not found risky (OR: 0.71 / 0.93). Conclusions: allergic rhinitis is a common condition among the young population in Guinea Bissau. The family history of atopy and the personal history of recurrent upper respiratory disease resulted in a very high level of statistical significance.

4.
Rev. medica electron ; 44(2)abr. 2022.
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1409726

RESUMEN

RESUMEN Introducción: la seguridad durante los procedimientos médicos o quirúrgicos se ve amenazada por la anafilaxia. Objetivo: evaluar el cuadro clínico, método de estudio y eventual resultado de la reexposición en pacientes con reacciones anafilácticas y alérgicas durante procedimientos médicos o quirúrgicos. Materiales y métodos: se realizó un estudio cuantitativo, observacional y descriptivo en 11 pacientes con diagnóstico de anafilaxia en el curso de una intervención quirúrgica o proceder médico, en los hospitales Militar Principal y Nacional Simão Méndes, de Guinea Bissau, entre 2018 y 2020. Se evaluaron las variables: edad, sexo, procedimiento, método anestésico, antecedentes alérgicos, gravedad de la anafilaxia y agente causal. Resultados: de los 11 pacientes estudiados, 10 tuvieron reacciones en procedimientos quirúrgicos. La media de edad fue de 46,09 años, con una relación por sexo de 0,57 casos masculinos por cada caso femenino. Cinco pacientes (45,45 %) desarrollaron el grado máximo de severidad de la anafilaxia. Los agentes anestésicos fueron la causa de la anafilaxia en dos de los cuatro pacientes sometidos al método de anestesia general y en dos de los cinco sometidos al método de anestesia regional. Por su parte, el látex resultó ser el agente causal en el 45,45 % de los pacientes. Conclusiones: la apropiada identificación de las reacciones anafilácticas durante su aparición, constituye la piedra angular de la actuación médica. En cualquier caso, conllevará estudios alergoanestésicos posteriores que definan el agente causal.


ABSTRACT Introduction: safety during medical or surgical procedures is threatened by anaphylaxis. Objective: to evaluate the clinical characteristics, study method and eventual outcome of re-exposure in patients with anaphylactic and allergic reactions during medical or surgical procedures. Materials and methods: a quantitative, observational and descriptive study was carried out in 11 patients with a diagnosis of anaphylaxis in the course of a surgical intervention or medical procedure, in the Main Military Hospital and the National Hospital Simão Méndes, of Guinea Bissau between 2018 and 2020. The evaluated variables were: age, sex, procedure, anesthetic method, allergic history, severity of anaphylaxis and causal agent. Results: of the 11 patients studied, 10 had reactions in surgical procedures. The mean age was 46.09 years with a sex ratio of 0.57 male cases for each female case. Five patients (45.45 %) developed the maximum degree of anaphylaxis severity. Anesthetic agents were the cause of anaphylaxis in two of the four patients who underwent the general anesthesia method, and in two of the five who underwent the regional anesthesia method. Latex was found to be the causal agent in 45.45 % of the patients. Conclusions: the proper identification of anaphylactic reactions during their appearance is the cornerstone of medical action. In any case, subsequent allergo-anesthetic studies would be needed to define the causative agent.

5.
Artículo en Portugués | LILACS | ID: biblio-1047446

RESUMEN

OBJETIVOS: No presente estudo os autores pretendem demonstrar as vantagens do diagnóstico molecular em imunoalergologia atráves da descrição de um caso clínico. DESCRIÇÃO DO CASO: Apresentamos o caso de uma criança, do sexo masculino, 9 anos de idade seguido em consulta de imunoalergologia pediátrica com os diagnósticos de asma persistente moderada, rinite persistente, eczema atópico e alergia alimentar com manifestações graves (vários episódios de anafilaxia), cujo estudo do perfil molecular de sensibilização alérgica contribuiu para melhor conhecimento do doente, adequação terapêutica e, inclusive, prognóstica. CONCLUSÕES: O estudo molecular alergológico, conforme análise do caso em estudo, permite o estabelecimento e escalonamento em termos de gravidade de um perfil de sensibilização mais individualista, que é sobretudo importante no doente polissensibilizado e com relato de alergias respiratórias e alimentares.


AIMS: In the present study, the authors intend to demonstrate the advantages of molecular diagnosis in immunoallergology through the description of a clinical case. CASE DESCRIPTION: We present the case of a 9-year-old male, followed by pediatric immunoallergology with the diagnoses of moderate persistent asthma, persistent rhinitis, atopic eczema and food allergy with severe manifestations (several episodes of anaphylaxis). molecular profile of allergic sensitization contributed to better knowledge of the patient, therapeutic and even prognostic adequacy. CONCLUSIONS: The molecular allergy diagnostic tests, according to the analysis of the present case, allows the establishment and escalation in terms of severity of a more individualistic sensitization profile, which is especially important in the patient who is polysensitized and with reports of respiratory and food allergies.


Asunto(s)
Alergia e Inmunología , Pediatría , Hipersensibilidad , Medicina
6.
Rev. habanera cienc. méd ; 17(6)nov.-dic. 2018.
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1508608

RESUMEN

El doctor Javier Eduardo Rodríguez Fernández de Castro nace en Gijón, Asturias, España, el 12 de febrero de 1917. A inicios de la década de 1930 asiste a la Facultad de San Carlos en la Universidad Central de Madrid, donde estudia por dos cursos la Licenciatura en Medicina. Viaja luego a Cuba donde labora en una imprenta hasta reiniciar sus estudios de medicina en la Universidad de La Habana en el curso 1938-1939, plaza que gana por oposición. En 1943, sobresale como alumno externo del Hospital Calixto García y dos años más tarde se gradúa de doctor en Medicina. Al inaugurarse en 1961 el Hospital Nacional, después nombrado Enrique Cabrera, pasa a la laborar en este centro por más de 50 años. Fallece en la Habana el 12 de diciembre 2012.


Doctor Javier Eduardo Rodríguez Fernández de Castro was born on February 12th, 1917 in Gijón, Asturias, Spain. From a bourgeois origin, he received an educative formation from his parents. At the beginning of the decade of 1930, he went to the College of Medicine of San Carlos of the Central University of Madrid where he studied for two years and graduated as a Bachelor of Medicine. Later on, he travelled to Cuba and began to work in a printing office until he started his medical studies at the University of Havana in the Academic Year 1938-1939. In 1943, he was an outstanding daytime student of "Calixto García" Hospital, and, two years later, he graduated as a Doctor of Medicine. After the official opening of the National Hospital, called afterwards "Enrique Cabrera" Hospital, he started to work at this institution where he offered his medical services for more than 50 years. He died in Havana on December 12th, 2012.

7.
Gac. méd. espirit ; 20(2)mayo.-ago. 2018.
Artículo en Español | LILACS | ID: biblio-1506250

RESUMEN

Fundamento: En la provincia Sancti Spíritus se corroboró la inexistencia de documentos sobre la historia de la especialidad Alergología, por ello es necesario una investigación documental que pueda incidir en la formación de las generaciones actuales y futuras. Objetivo: Describir el desarrollo histórico de la especialidad de Alergología en la provincia Sancti Spíritus. Desarrollo: Se realizó una investigación cualitativa que se apoyó en los métodos teóricos, histórico lógico, análisis y síntesis, así como la entrevista y el análisis documental en el período comprendido entre 1978 y 2017 Conclusiones: La especialidad alcanzó un alto nivel de desarrollo y estabilidad en la asistencia, docencia e investigación, con Departamentos de Alergología con un especialista y enfermera entrenada en la atención primaria y secundaria lo que permitió brindar atención especializada de alta calidad al paciente alérgico y su familia, asimismo mantener la colaboración docente a otras provincias de la región central y del resto del país.


Background: The absence of documents on the history of the Allergology specialty in Sancti Spíritus province was confirmed, for this reason a documentary research is necessary which could influence in the formation of current and future generations. Objective: To describe the historical development of the specialty of Allergology in Sancti Spíritus province. Development: A qualitative research was carried out based on the theoretical methods, historical logic, analysis and synthesis, as well as the interview and the documentary analysis from 1978 to 2017 Conclusions: The specialty reached a high level of development and stability in care, teaching and research, having Departments of Allergology with a specialist and a nurse both trained in primary and secondary care which allowed providing high-quality specialized care to the allergic patient and his family, also maintaining the teaching collaboration to other provinces from the central region and the rest of the country.


Asunto(s)
Historia de la Medicina , Alergia e Inmunología
8.
Medisan ; 21(5)mayo 2017. tab
Artículo en Español | LILACS | ID: biblio-841699

RESUMEN

Se realizó un estudio descriptivo y transversal de 50 padres de niños asmáticos que fueron remitidos por primera vez a la consulta de Alergología del Hospital Infantil Docente Sur Dr Antonio María Béguez César de Santiago de Cuba, desde octubre del 2012 hasta septiembre del 2013, con vistas a determinar sus conocimientos sobre el asma bronquial, para lo cual se les realizó una encuesta exploratoria. Luego de procesada la información, se obtuvo un predominio de los padres jóvenes con conocimientos inadecuados sobre la enfermedad, principalmente en cuanto a las medidas para evitar las crisis de asma bronquial, a sus agentes desencadenantes y manifestaciones clínicas, además de los factores ambientales intradomiciliarios que las condicionan y el objetivo del tratamiento


A descriptive and cross-sectional study of 50 parents of asthmatic children was carried out. They were referred for the first time to the Allergology Service of Dr Antonio María Béguez Cesar Southern Teaching Children Hospital in Santiago de Cuba, from October, 2012 to September, 2013, aimed at determining their knowledge on bronchial asthma, for which an exploratory survey was carried out. After processing the information, a prevalence of the young parents was obtained with inadequate knowledge on the disease, mainly concerning the measures to avoid bronchial asthma crises, its triggering agents and clinical features, besides the home environmental factors that condition them and the objective of the treatment


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Padres/educación , Asma , Conocimientos, Actitudes y Práctica en Salud , Educación en Salud , Epidemiología Descriptiva , Estudios Transversales , Promoción de la Salud
9.
Arch. alerg. inmunol. clin ; 39(1): 22-31, 2008. ilus, tab
Artículo en Español | LILACS | ID: biblio-966906

RESUMEN

La Alergología Clínica y las ciencias médicas generan día a día preguntas a los que las practicamos. Para responder a estas preguntas existen distintos tipos de fuentes; sin embargo, estamos obligados a buscar la mejor información posible para resolverlas. Los tiempos en los que vivimos y desarrollamos la profesión médica exigen información de calidad dado el mar de datos disponibles en las fuentes a nuestra disposición; de entre todas las conocidas, es Internet la que mayor volumen nos ofrece. El adecuado manejo de este recurso nos permitirá acceder a información que debería ser por regla general basada en la evidencia. El objetivo de este artículo es proponer una guía de recursos web de utilidad para la práctica diaria en alergología.(AU)


Clinic Allergology and medical sciences practice are constant generators of questions. To answer these questions there are multiple sources; however, we most search for the best possible information. Times we are living in and practice medical profession require high quality information because of the great sea of data we find in the available sources; from all of these, internet is the one that offers a great volume of information. An appropriate use of this resource will allow us to achieve information that should be always evidence based medicine. The objective of this article is to propose a guide of web resources useful in daily Allergology practice. (AU)


Asunto(s)
Medicina Basada en la Evidencia , Alergia e Inmunología , Centros de Información , Internet
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA