ABSTRACT
En el presente año 2019 se han cumplido 25 años del estreno de la película Philadelhia de Jonathan Demme, que en nuestro país se produjo en marzo de 1994. Pretendemos con este artículo hacer una reflexión de los cambios que se han producido en la infección HIV tanto en el diagnóstico, tratamiento y pronostico así como en el ámbito social: cuando se presenta la película hacía unos 10 años de los primeros casos, se contemplaba la infección por HIV como una enfermedad con un amplio rechazo social con estigmatización de varios grupos de riesgo (homosexuales, adictos por vía intravenosa y hemofílicos) y las vías de contagio, el diagnóstico solía hacerse en fases tardías de la enfermedad con cuadros de inmunodeficiencia severa como sarcoma de Kaposi, neumonía por Pneumocystis carinii, toxoplasmosis cerebral y meningitis por criptococo y los tratamientos eran poco efectivos. En la actualidad, el diagnóstico y tratamiento es mucho más precoz y efectivo y la estigmatización social ha desaparecido
In present year 2019, 25 years of the premiere of the film Philadelhia by Jonathan Demme have been fulfilled, which in our country took place in March 1994. With this paper, we try to make a reflection of the changes that have occurred in HIV infection in diagnosis, treatment and prognosis as well as in the social field: when the film was presented about 10 years later first patients were diagnosed, HIV infection was considered as a disease with widespread social rejection with stigmatization of several risk groups (homosexuals, intravenous drug users and hemophiliacs) and ways of transmission, diagnosis was usually made in late stages of the disease with severe immunodeficiency symptoms such as Kaposi's sarcoma, Pneumocystis carinii pneumonia, cerebral toxoplasmosis and cryptococcal meningitis and the treatments were ineffective. At present, diagnosis and treatment is much earlier and more effective and social stigmatization has disappeared
Subject(s)
Humans , Motion Pictures , HIV Infections/diagnosis , HIV Infections/therapy , Social Stigma , AIDS-Related Opportunistic Infections , PrognosisABSTRACT
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History, 18th Century , History, 19th Century , Triage/history , Triage/methods , Emergency Medicine/classification , Emergency Medicine/history , Crimean War , United States , Military Medicine/classification , Military Medicine/historyABSTRACT
Presentamos el caso de una mujer de 65 años con una neumonía postobstructiva causada por un tumor endobronquial benigno (AU)
The present is the case of a 65 year-old woman with postobstructive pneumonia caused by a benign endobronchial tumor (AU)
Subject(s)
Humans , Female , Aged , Hamartoma/diagnostic imaging , Bronchial Neoplasms/diagnostic imaging , Pneumonia/etiology , BronchoscopyABSTRACT
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Humans , Education, Medical/trends , Eponyms , Terminology as TopicABSTRACT
Presentamos el caso de una mujer de 75 años que presenta hepatitis aguda tras recibir tratamiento prolongado con nitrofurantoína, como profilaxis de infecciones urinarias recurrentes. Los fármacos son una importante causa de hepatotoxicidad; más de 900 fármacos, toxinas y plantas han sido implicados como causa del daño hepático. Los clínicos deben vigilar y detectar precozmente para evitar cuadros severos de toxicidad hepática (AU)
We report the case of a 75-year-old female with acute hepatitis after a long-term treatment with nitrofurantoin as prophylaxis for recurrent urinary tract infections. Drugs are an important cause of hepatotoxicity; over 900 drugs, toxins, and herbs have been reported to cause liver damage. Physicians must be vigilant and identify drug-related liver damage early to avoid severe liver toxicity (AU)
Subject(s)
Humans , Female , Aged , Chemical and Drug Induced Liver Injury/diagnosis , Nitrofurantoin/adverse effects , Urinary Tract Infections/prevention & control , Antibiotic Prophylaxis/methods , Diverticulosis, Colonic/complications , Risk FactorsABSTRACT
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Humans , Mobile Applications , Social Media , Education, Medical/trends , Students, Health Occupations/statistics & numerical dataABSTRACT
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Humans , Triage Zone , Triage/trends , Emergency Service, Hospital/organization & administration , Terminology as TopicABSTRACT
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Humans , May-Thurner Syndrome/diagnosis , Venous Thrombosis/diagnosis , Diagnosis, Differential , May-Thurner Syndrome/therapy , Endovascular ProceduresABSTRACT
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Humans , History of Medicine , General Surgery/history , Education, Medical/history , Literature/historyABSTRACT
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Humans , History of Medicine , Faith Healing/history , Mythology , GreeceABSTRACT
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Humans , Cardiopulmonary Resuscitation/history , Prehospital Care/history , Patient Simulation , Emergency Medical Services/statistics & numerical data , Emergency Treatment/methodsABSTRACT
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Humans , Male , History, 16th Century , Limbic Encephalitis/diagnosis , Dementia , Nervous System Diseases , Diagnosis, Differential , Neurodegenerative Diseases/physiopathologyABSTRACT
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Humans , Heart Auscultation/methods , Phonocardiography/methods , Education, Medical/trends , Diagnostic Tests, Routine/methodsABSTRACT
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History, 16th Century , Neurosciences/history , Neurosciences/methods , Neurology/history , Neurology/methods , Medicine in Literature , Wit and Humor as Topic/history , Wit and Humor as Topic/psychology , Depressive Disorder, Major/complications , Depressive Disorder, Major/historyABSTRACT
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Humans , Education, Medical/history , History of Medicine , Constitutional Diagnosis/history , Diagnostic Techniques and Procedures/historyABSTRACT
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Humans , Obesity/history , Diet, Reducing/history , Anti-Obesity Agents/historyABSTRACT
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