ABSTRACT
CASE REPORT: The case is presented of a 46-year-old male with right eye proptosis and conjunctival hyperaemia, of 18 months onset. A well-defined intraconal mass was found in the computed tomography. In magnetic resonance this was hypo-intense on T1, enhanced with gadolinium and hyperintense on T2. Excisional biopsy was performed, which was reported as a well-differentiated liposarcoma in the histopathology study. DISCUSSION: Liposarcoma is a malignant adipose tissue tumour. It is very rare in the orbit, with 5 histological types, the most common being myxoid. The treatment of choice is wide surgical excision and may be accompanied with radiotherapy. As it is an infiltrative tumour, It has a high rate of recurrence.
Subject(s)
Liposarcoma/diagnostic imaging , Magnetic Resonance Imaging , Orbital Neoplasms/diagnostic imaging , Tomography, X-Ray Computed , Biopsy , Combined Modality Therapy , Contrast Media , Eye Evisceration , Gadolinium , Humans , Liposarcoma/pathology , Liposarcoma/radiotherapy , Liposarcoma/surgery , Male , Middle Aged , Orbital Neoplasms/pathology , Orbital Neoplasms/radiotherapy , Orbital Neoplasms/surgery , Radiotherapy, AdjuvantABSTRACT
CASE REPORT: A 13-year-old boy presented with right eye proptosis and lateral dystopia. A soft non-pulsatile mass was found in the superomedial orbital region. An excisional biopsy was performed, for which the histopathology reported an epithelioid haemangioendothelioma. DISCUSSION: Haemangioendothelioma is a borderline vascular lesion within the spectrum of clinically benign and malignant tumours. These can arise from soft tissue or bone. There are few reports of these tumours located in the orbit.
Subject(s)
Hemangioendothelioma, Epithelioid , Orbital Neoplasms , Adolescent , Hemangioendothelioma, Epithelioid/diagnosis , Hemangioendothelioma, Epithelioid/surgery , Humans , Male , Orbital Neoplasms/diagnosis , Orbital Neoplasms/surgerySubject(s)
Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Diclofenac/adverse effects , Licensure/legislation & jurisprudence , Raptors , Veterinary Drugs/adverse effects , Agriculture , Animals , Anti-Inflammatory Agents, Non-Steroidal/analysis , Cattle , Diclofenac/analysis , Europe , Spain , Swine , Veterinary Drugs/chemistryABSTRACT
This study investigated the relationship between parental self-efficacy and asthma-related morbidity. Participants included 139 parents of children (ages 5-8) who were diagnosed with asthma and were primarily from lower-income and minority backgrounds. Parents completed a 22-item measure of self-efficacy; factor analysis was conducted on this measure, yielding two factors: learned helplessness and self-efficacy. Correlational analyses indicated that higher scores on the learned helplessness factor were significantly related to increased asthma-related morbidity for the majority of morbidity variables. The self-efficacy factor was significantly related to days of school missed. Regression analyses conducted with the factor scores and the morbidity variables provide further support that the learned helplessness factor accounts for a significant amount of the variance in asthma morbidity for many of the variables studied, while the self-efficacy factor was related to only a few. Although improving health outcomes of children with asthma is a multifaceted process, the results of this study suggest that targeting parental self-efficacy, particularly with parents who are experiencing high levels of perceived learned helplessness, may be a helpful component of an intervention program with this population.
Subject(s)
Asthma/complications , Family Health , Parents , Self Efficacy , Child , Child, Preschool , Female , Humans , Male , Regression Analysis , Surveys and QuestionnairesABSTRACT
La jubilación constituye uno de los acontecimientos más importantes de la vida que da un significado social a la vejez. La decisión de retirarse del trabajo está determinada por factores de tipo individual tales como la situación económica, el estado de salud, las actitudes ante el trabajo y la jubilación, y por otro lado por factores de características sociales-regulación de empleo, condiciones laborales, valores socio laborales... Con todo, ocurre que aquel individuo que se jubila experimentará inevitables cambios físicos, psíquicos y sociales para los cuales se hace necesaria una preparación al proceso de jubilación. Nuestro estudio realiza el análisis de un grupo de trabajadores pertenecientes a la red de hospitales del Excelentísimo Cabildo Insular de Tenerife que nos permite determinar el grado de conocimientos, opiniones y actitudes frente a la nueva etapa con el objetivo final de diseñar un programa de preparación a la jubilación específico para la muestra. Este trabajo de investigación se llevó a cabo por las autoras como parte de los estudios de Máster en Gerontología Social durante el año 1999 (AU)
Subject(s)
Aged , Female , Male , Middle Aged , Humans , Retirement/psychology , Nursing Care/psychology , Life Change Events , Retirement/statistics & numerical data , Health Services for the Aged/trendsABSTRACT
The increase in the prevalence, morbidity, and mortality of asthma among children over the last decade has been well documented, especially among low-income minority children. Hypotheses for the increases in morbidity and mortality include limited access to primary care services and the failure to recognize the presence and severity of asthma. The University of Miami Pediatric Mobile Clinic (Mobile Clinic) Asthma Intervention Program is designed to identify underserved asthmatic children at school and offer them culturally sensitive care. Nine elementary schools with low income, predominantly Hispanic and African-American populations regularly served by the Mobile Clinic, were chosen for study participation. All 5,800 students who were enrolled in kindergarten through third grade were given letters at the time of registration by their homeroom teachers about the asthma program. Caretakers who returned the questionnaire and reported that the student had asthma symptoms were invited to have the student undergo a medical evaluation in the Mobile Clinic. Over a 2-year period, caretakers of 423 students (7.3% of all students) expressed an interest in further evaluating their child's respiratory health. Of these, we enrolled and evaluated 154 in the Mobile Clinic's Asthma Intervention Program. The Mobile Clinic physicians identified 145 of the enrollees as having asthma. These results indicate that in elementary schools serving predominantly low-income minority populations, a large fraction of the asthmatic population (estimated prevalence, 6-10%) can be identified by a school-based letter. Further, in a subset of asthmatic students (children of interested caretakers), there is good agreement between caretaker responses and physician diagnosis of asthma. Since school attendance is mandatory, school-based methods may be an effective method for identifying low-income children with asthma.
Subject(s)
Asthma/epidemiology , Mobile Health Units , School Health Services , Black or African American , Child , Child, Preschool , Female , Florida , Hispanic or Latino , Humans , Male , Poverty , PrevalenceABSTRACT
Las enfermedades diarreicas son causa importante de morbimortalidad infantil en los países en desarrollo, en los cuales dichas enfermedades son prevenidas y tratadas con sales de hidratación oral, sin embargo, continúan las pérdidas hídricas por diarrea. Es ahí donde la levadura Saacharomyces boulardii desempeña un importante papel al acortar los días de la enfermedad y disminuir el número de evacuaciones. Para corroborar este efecto se diseño un ensayo clínico terapéutico doble ciego comparativo entre Saccharomyces boulardii y placebo, en un servicio de hidratación oral en 50 niños con diarrea aguda no complicada. Se administraron 200 mg de Saccharomyces boulardii c/8 horas, obteniendo una disminución significativa en el número de evacuaciones, y 96 por ciento de pacientes con diarrea al cuarto día de tratamiento con una p=0.01
