Cardiac Rehabilitation in Primary Care. Impact of an Intervention on Perceived Self-Efficacy.

Cardiac rehabilitation is cost-effective and should be considered a part of the care system provided to patients who have suffered a myocardial infarction or another heart disease. The main variable to study was the scoring, prior to and after the intervention in the General Scale of Self-Efficacy by Baessler & Schwarzer. A clinical community trial that was open controlled and randomised was used. All adult subjects of both sexes who had completed a cardiac rehabilitation program for 12 months at the reference hospital were selected and offered to participate. The psychometric variables registered were the Salamanca screening questionnaire, the Hamilton Anxiety Rating Scale, and the Beck Depression Inventory. Eighty-nine subjects accepted to participate in the study (93.89% response rate), with an average age of 63.01 years (SD 8.75). Once the study was concluded, the main outcome was a difference in means of 6.09 points in the General Scale of Self-Efficacy (p < 0.0053, 96% confidence interval-4.1950-10.29), showing that the group exposed to the intervention reached a higher score in the above-mentioned scale. However, there were no significant differences (t-student 0.1211; p = 0.943) after the estimation and contrast of population means for score differences between the groups regarding the Hamilton scale. Similarly, there were no significant differences between the groups regarding the means obtained in the variable score difference in the Beck Depression Inventory (t-student -0.1281; p = 0.8987). The results showed an increase in those scores related to general self-efficacy among the population that completed the intervention program, as compared to the control group.

Meningitis de repetición asociada a síndrome de Duane tipo 1 / Recurrent meningitis associated with Duane syndrome type I

Presentamos el caso de un paciente varón de 17 meses con síndrome de Duane tipo 1 bilateral asociado a displasia cocleovestibular unilateral, fístula perilinfática y meningitis de repetición. El diagnóstico se realizó mediante TC de peñascos y RM cerebral. Se describe su manejo y tratamiento, así como la evolución postoperatoria. Debido a la poca frecuencia de este síndrome, así como a la de sus complicaciones de tipo otoneurológico, consideramos que se trata de un caso excepcional(AU)

We present the case of a 17-month-old male patient with a bilateral Duane syndrome type 1 associated to unilateral cochleovestibular dysplasia, perilymphatic fistula and recurrent meningitis. Diagnosis was carried out by MRI and CT scan. His management and treatment are described, as well as the postoperative evolution. We believe this is an exceptional case due to the low frequency of this syndrome, as well as to the otoneurological complications(AU)

Recurrent meningitis associated with Duane syndrome type I.

We present the case of a 17-month-old male patient with a bilateral Duane syndrome type 1 associated to unilateral cochleovestibular dysplasia, perilymphatic fistula and recurrent meningitis. Diagnosis was carried out by MRI and CT scan. His management and treatment are described, as well as the postoperative evolution. We believe this is an exceptional case due to the low frequency of this syndrome, as well as to the otoneurological complications.

Presentación clínica de la anemia falciforme en 78 niños homozigotos / Clinical presentation of the 78 homozygous sickle cell children

Se revisaron 78 historias clínicas de niños con Anemia Falciforme Homozigota (S-S). Se analizaron diferentes aspectos clínicos. La dactilitis y las crisis dolorosas fueron las manifestaciones iniciales más frecuentes durante los primeros dos años de vida. El secuestro esplénico agudo, la aséptica de cabeza femoral o humeral, crisis aplástica e infarto cerebral, no fueron observados como eventos clínicos tal como han sido descritos en otras partes del mundo