ABSTRACT
Objective: To analyse the Chilean trends in mortality from brain malignancies between 1985 and 1999. Methods: We calculated mortality rates from malignant brain tumors using data obtained from death certificates available at the National Statistics Office. The following International Classification of Diseases categories were selected: 191.0 to 191.9 (ICD-9), and C71.0 to C71.9 (ICD-10). The rates were adjusted using direct standardization. Prais-Winsten methodology was used for time correlation analysis. Results: Sex-specific rates varied from 0.9 to 1.75 per 100.000 in men and from 0.7 to 1.22 in women. The trend was toward a statistically significant increase in mortality from malignant brain tumors in both groups. The analysis by age group showed no statistically significant variation in those below 35 years old, and a statistically significant increase in those between 35 and 39 years old, and in those above 45 years old. Conclusions: The trend in mortality from malignant brain tumors, in Chile, shows a statistically significant increase in those between 35 and 39 years old, and in those above 45 years old.
Existe controversia en el aumento de la incidencia en las tasas de tumores primarios malignos de cerebro. Este incremento podría explicarse por el crecimiento exponencial en el número de Tomografías computarizadas. Objetivo: Evaluar la tendencia de la mortalidad por tumores cerebrales primarios malignos en Chile (TCM). Metodología: Estudio de tasas de mortalidad de datos obtenidos en índices demográficos (años 1985 a 1999). Se utilizó la población de Chile de los años estudiados y se ajustó a la población estimada de 1999. Se usó las categorías 191,0 a 191,9 y C 71-0 a C 71-9 de la Clasificación Internacional, correspondiendo al grupo de tumores malignos del SNC. Se estudiaron tasas específicas por edad y sexo. Se calculó la tendencia utilizando las tasas ajustada por edad y sexo. Se utilizó una prueba de regresión lineal (Prais-Winsten) para mediciones correlacionales en el tiempo (Stata 7). Resultados: Se obtuvo 2.304 TCM. Las tasas específicas por sexo varían entre 0,90 a 1,75 x 100.000 en hombres y de 0,7 a 1,22 en mujeres. La tendencia global de la mortalidad por tumores tiende al ascenso en ambos grupos y es significativamente más alta en hombres (0,47 95 % IC 0,18 a 0,42 p = < 0,005) El estudio por grupos etarios no muestra un aumento significativo en menores de 14 años, ni entre 15 y 34 años. En los grupos de 45 años y más es estadísticamente significativa. Conclusión: La tendencia a la mortalidad por TCM aparece en ascenso en los grupos etarios 35 a 39 años y 45 años y más.
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Brain Neoplasms , Mortality , Chile , Epidemiology, DescriptiveSubject(s)
Colonic Diseases/diagnosis , Intestinal Obstruction/etiology , Tuberculosis, Gastrointestinal/diagnosis , Adult , Aged , Female , Humans , MaleABSTRACT
Exoproteinase production was demonstrated in 64 clinical isolates of S. marcescens. A significant relationship was found between the site of origin (autopsy material, hemocultures, various other sources), proteinase activity, and LD50 of the analyzed isolates. The number of exoproteinases varied during a 14-h incubation in batch cultures; the most frequently found was a 57.5-kDa proteinase which was observed in all analyzed strains. The exoproteinase production was shown to be related to strain virulence.
Subject(s)
Exopeptidases/metabolism , Serratia marcescens/enzymology , Serratia marcescens/pathogenicity , Humans , Serratia marcescens/physiology , VirulenceABSTRACT
Diaphragmatic traumatic chronic hernias are infrequent. Diagnostic can be difficult if don't exist suspicion and treatment is always by surgery. The aim of this paper is to present three cases and makes an actualisation in basis to our experience and the literature.
Subject(s)
Hernia, Diaphragmatic, Traumatic/surgery , Aged , Aged, 80 and over , Chronic Disease , Fatal Outcome , Female , Hernia, Diaphragmatic, Traumatic/diagnostic imaging , Hernia, Diaphragmatic, Traumatic/etiology , Humans , Male , Middle Aged , Radiography , Wounds, Nonpenetrating/complicationsABSTRACT
Diaphragmatic traumatic chronic hernias are infrequent. Diagnostic can be difficult if don't exist suspicion and treatment is always by surgery. The aim of this paper is to present three cases and makes an actualisation in basis to our experience and the literature.
Subject(s)
Humans , Male , Female , Middle Aged , Hernia, Diaphragmatic, Traumatic/surgery , Chronic Disease , Fatal Outcome , Hernia, Diaphragmatic, Traumatic/diagnosis , Hernia, Diaphragmatic, Traumatic/etiology , Wounds, Nonpenetrating/complicationsABSTRACT
Diaphragmatic traumatic chronic hernias are infrequent. Diagnostic can be difficult if dont exist suspicion and treatment is always by surgery. The aim of this paper is to present three cases and makes an actualisation in basis to our experience and the literature.
ABSTRACT
Diaphragmatic traumatic chronic hernias are infrequent. Diagnostic can be difficult if dont exist suspicion and treatment is always by surgery. The aim of this paper is to present three cases and makes an actualisation in basis to our experience and the literature.(AU)
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Hernia, Diaphragmatic, Traumatic/surgery , Hernia, Diaphragmatic, Traumatic/diagnosis , Hernia, Diaphragmatic, Traumatic/etiology , Aged, 80 and over , Chronic Disease , Fatal Outcome , Wounds, Nonpenetrating/complicationsABSTRACT
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Subject(s)
Adult , Female , Humans , Fatal Outcome , Aortic Diseases , Esophageal Fistula , Foreign BodiesSubject(s)
Aortic Diseases/etiology , Esophageal Fistula/etiology , Foreign Bodies/complications , Adult , Fatal Outcome , Female , HumansSubject(s)
Intestine, Small , Rectal Prolapse/etiology , Aged , Female , Humans , Rectal Diseases/complications , Rupture, SpontaneousSubject(s)
Cholestasis/etiology , Lymphoma, B-Cell/complications , Pancreatitis/etiology , Acute Disease , Adult , Humans , MaleABSTRACT
Cancer of the cystic duct is very infrequent, the diagnosis must be made during surgery for biliary pathology, generally lithiasis. The present tendency as regards treatment, is surgery associated with lymphadenectomy.
Subject(s)
Adenocarcinoma/pathology , Bile Duct Neoplasms/pathology , Cystic Duct , Acute Disease , Adenocarcinoma/surgery , Aged , Bile Duct Neoplasms/surgery , Cholecystitis/pathology , Cholecystitis/surgery , Humans , MaleABSTRACT
Cancer of the cystic duct is very infrequent, the diagnosis must be made during surgery for biliary pathology, generally lithiasis. The present tendency as regards treatment, is surgery associated with lymphadenectomy.
Subject(s)
Humans , Male , Aged , Adenocarcinoma , Bile Duct Neoplasms , Cystic Duct , Acute Disease , Adenocarcinoma , Bile Duct Neoplasms , CholecystitisABSTRACT
Cancer of the cystic duct is very infrequent, the diagnosis must be made during surgery for biliary pathology, generally lithiasis. The present tendency as regards treatment, is surgery associated with lymphadenectomy.
ABSTRACT
Cancer of the cystic duct is very infrequent, the diagnosis must be made during surgery for biliary pathology, generally lithiasis. The present tendency as regards treatment, is surgery associated with lymphadenectomy. (Au)
Subject(s)
Humans , Male , Aged , Bile Duct Neoplasms/pathology , Adenocarcinoma/pathology , Cystic Duct , Bile Duct Neoplasms/surgery , Adenocarcinoma/surgery , Cholecystitis/pathology , Cholecystitis/surgery , Acute DiseaseABSTRACT
One hundred and fifty laparoscopic cholecystectomies without pneumoperitoneum (LCWP) cases were reviewed. Age, sex, duration of surgical procedures, postoperative pain, complications and length of hospital stay data were also analyzed. We concluded that LCWP avoids complication related to its use and has become a sound option particularly for those patients with a history of cardiorespiratory failure where pneumoperitoneum approach is hindered. Hence, laparoscopic cholecystectomy prescription is widened.
Subject(s)
Cholecystectomy, Laparoscopic/methods , Pneumoperitoneum, Artificial , Adult , Aged , Aged, 80 and over , Cholecystectomy, Laparoscopic/adverse effects , Female , Humans , Male , Middle Aged , Pain, PostoperativeABSTRACT
Introducción. La cirugía laparoscópica conlleva la realización de un neumoperitoneo con CO2 que puede ser causa de complicaciones. Objetivo. Valorar los resultados de un sistema de tracción parietal que evita la necesidad del neumoperitoneo. Material y métodos. Análisis prospectivo de 150 colecistectomías laparoscópicas en las que no se utilizó neumoperitoneo con CO2. Resultados. Los resultados no difieren de la colecistectomía laparoscópica convencional en los parámetros analizados, salvo un mayor dolor en cirugías prolongadas y las que requirieron mayor tracción. Conclusiones. Se trata de una alternativa válida y que podría ampliar las indicaciones de esta cirugía en determinados pacientes con trastornos cardiorrespiratorios (AU)
Subject(s)
Adult , Aged , Female , Male , Middle Aged , Humans , Pneumoperitoneum/surgery , Pneumoperitoneum/complications , Pneumoperitoneum/diagnosis , Pneumoperitoneum/etiology , Carbon Dioxide/classification , Carbon Dioxide/pharmacokinetics , Carbon Dioxide/standards , Pain, Postoperative/complications , Pain, Postoperative/diagnosis , Pain, Postoperative/etiology , Cholecystectomy, Laparoscopic/classification , Cholecystectomy, Laparoscopic/methods , Cholecystectomy, Laparoscopic/instrumentation , Prospective Studies , Cholecystitis/surgery , Cholecystitis/complications , Cholecystitis/diagnosis , Cholecystitis/etiology , Analgesia/methods , Analgesia , Risk Factors , Abdominal Muscles/surgery , Cholelithiasis/surgery , Surgical InstrumentsABSTRACT
A few reports in the medical literature suggest an association between Pneumocystis caring and apnea in small infants. This patient, a 1 month 20 days old, HIV negative, infant girl weighing 2,000 grams was admitted to hospital after presenting a severe episode of apnea with cyanosis and bradicardia. She progressively developed bronchopneumonia by P. carinii that required prolonged mechanical ventilation with high ventilatory parameters. The clinical course of this patient illustrates that apnea can be an early sign of P. carinii infection in small infants. Early diagnosis and specific therapy might prevent morbidity and mortality and also decrease the length of hospitalization
Subject(s)
Humans , Female , Infant , Apnea/etiology , Pneumonia, Pneumocystis/complications , Pneumocystis carinii/pathogenicity , Pneumonia, Pneumocystis/drug therapy , Surface-Active Agents/administration & dosage , Hydrocortisone/administration & dosage , Amikacin/administration & dosage , Cefotaxime/administration & dosage , Aminophylline/administration & dosage , Trimethoprim, Sulfamethoxazole Drug Combination/administration & dosageABSTRACT
One hundred and fifty laparoscopic cholecystectomies without pneumoperitoneum (LCWP) cases were reviewed. Age, sex, duration of surgical procedures, postoperative pain, complications and length of hospital stay data were also analyzed. We concluded that LCWP avoids complication related to its use and has become a sound option particulary for those patients with a history of cardiorespiratory failure where pneumoperitoneum approach is hindered. Hence, laparoscopic cholecystectomy prescription is widened.
