ABSTRACT
BACKGROUND AND OBJECTIVES: Atrial fibrillation (AF) is the most common type of arrhythmia. The purpose of this study was to determine the prevalence of atrial fibrillation and its relationship with cardiovascular risk factors in Spain. METHODOLOGY: Cross-sectional study based on a grouped analysis of 17,291 randomized individuals recruited in 6 population studies. RESULTS: The prevalence of atrial fibrillation was 1.5% (95% CI:1.3-1.7%). Men had a greater prevalence of the disease than women (1.9 vs. 1.1%, respectively). The prevalence of atrial fibrillation progressively increased with age: 0.05% for patients younger than 45 years, 0.5% for those between 45-59 years of age, 2.3% for those between 60-74 years of age and 6.3% for those older than 75 years. The percentage of individuals who were underwent anticoagulant treatment was 74.3%. The risk factors significantly associated with arrhythmia were an age older than 60 years (odds ratio [OR]: 7.6; 95% CI: 5.1-11.2), the male sex (OR:1.8; 95% CI: 1.4-2.4), arterial hypertension (OR:1.6; 95% CI: 1.2-2.1), obesity (OR:1.5; 95% CI:1.2-2.1) and a history of coronary artery disease (OR:1.9; 95% CI: 1.3-3.0). CONCLUSION: Atrial fibrillation is a common disease in elderly individuals, while its prevalence is low in individuals younger than 60 years. Most individuals with atrial fibrillation were on anticoagulant treatment. The risk factors for this type of arrhythmia are age, the male sex, hypertension, obesity and a history of coronary artery disease.
ABSTRACT
OBJECTIVES: To contribute to the knowledge of the alert signs and precursors of the schizophrenia, just as they can appear in the childhood, and of the prodromic signs other ages. DESIGN: Five descriptive studies: three retrospective, one transversal and one longitudinal study, based in the revision of clinical histories of an Community Mental Health Unit closely linked with the APS, additional revisions of the clinical histories of Family Doctors and Peadiatrics of Primary Care, and structured interviews with patients, patient's offspring, and PHC professionals. Two prospective studies: one, with schizophrenic's children; other, of children with alert signs detected in the first childhood. LOCATION OF THE PROJECT: USM-MHU of Sant Martí-La Mina, 5 Sanitary Basic Areas of Barcelona and Sant Adriá (Barcelona), besides the Functional Unit of Attention to the First Childhood of Sant Martí (Barcelona). PARTICIPANTS: Schizophrenic patients and relatives detected by the USM-MHU. Schizophrenic patients and relatives not detected by the USM. MHU-USM assistance staff and assistance staff of 5 ABS and of the Functional Unit of Attention to the First Childhood (UFAPI). Children with alert signs detected in the UFAPI and children with alert signs or risk factors detected in the EAP and in the Pediatric Teams of PC. METHODOLOGY AND INSTRUMENTS: Diagnoses DSM-IV. Structured interviews SCAN and IRAOS. Scales of positive and negative symptoms. Scales or screenings for the first childhood: ARBB, CBCL, and LISMEP. Structured interviews to determine precursory and prodromic signs: FETZ (Colony), ERIE-IRAOS (Hamburg-Barcelona), ERIE-red (reduced version of the IRAOS, adapted by the investigating team).
Subject(s)
Research Design , Schizophrenia/epidemiology , Adult , Child , Epidemiologic Studies , Female , Humans , Male , Primary Health Care/statistics & numerical data , Psychiatric Status Rating Scales , Schizophrenia/diagnosis , Spain/epidemiology , Surveys and QuestionnairesABSTRACT
Niña de 2 años y 7 meses de edad con malformación adenomatoide quística pulmonar (MAQP) que desarrolló un rabdomiosarcoma (RMS) pulmonar. La tumoración estaba localizada en el segmento medial del lóbulo medio derecho e íntimamente adherida al lóbulo pulmonar inferior. El diagnóstico anatomopatológico de la biopsia percutánea fue de RMS embrionario, iniciándose quimioterapia preoperatoria. La intervención quirúrgica consistió en exéresis de la tumoración con resección de los segmentos pulmonares del lóbulo medio e inferior adyacentes. El examen histológico, además de ratificar la estirpe tumoral ya conocida, reveló una MAQP tipo I. Posteriormente completó el tratamiento citostático. Los RMS pulmonares son muy raros en la infancia, sin embargo deben considerarse ante el hallazgo de una masa pulmonar solitaria en un niño, especialmente si existe una MAQP subyacente, entidad que puede favorecer el desarrollo de este tipo de neoplasias (AU)
Subject(s)
Female , Child, Preschool , Humans , Cystic Adenomatoid Malformation of Lung, Congenital/complications , Rhabdomyosarcoma/complications , Lung Neoplasms/complications , Antineoplastic Combined Chemotherapy Protocols/administration & dosageABSTRACT
Los tumores esplénicos primitivos benignos en la edad pediátrica son poco frecuentes. Se presentan tres casos: un hamartoma de pulpa roja en un niño de 4 años que cursó con esplenomegalia y déficit inmunológico, y dos quistes simples de revestimiento mesotelial que presentaron espleno megalia. Se realiza una revisión de la literatura respecto a sus características epidemiológicas, diagnósticas y terapéuticas (AU)
Subject(s)
Female , Child, Preschool , Male , Child , Humans , Splenic Diseases/diagnosis , Hamartoma/diagnosis , Cysts/diagnosis , Splenomegaly/etiology , Splenic Diseases/surgeryABSTRACT
A 49-year-old woman treated with increasing dosage of propylthiouracil (PTU) in order to control hyperthyroidism, developed progressive necrotic ulcers in the oral cavity, oropharynx and rhinopharynx and vasculitic ulcers on both auricular pinnae after a few days. The PTU treatment was immediately discontinued and the mucosal and skin manifestations resolved promptly. Laboratory findings, including anti-neutrophil cytoplasmic antibodies (ANCA), suggested allergic vasculitis. This is to our knowledge the first reported case of oral manifestations of PTU-induced allergic vasculitis.
Subject(s)
Antibodies, Antineutrophil Cytoplasmic/blood , Antithyroid Agents/adverse effects , Propylthiouracil/adverse effects , Vasculitis, Leukocytoclastic, Cutaneous/chemically induced , Female , Humans , Middle Aged , Oral Ulcer/chemically inducedABSTRACT
A material of 286 patients or 545 ears submitted to operation for protruding ears operated by Stenströms and Nordzells surgical procedure over a period of ten years were reviewed retrospectively. One hundred and sixty-three patients were clinically investigated and interviewed. The mean observation time was eight years. Satisfactory results were obtained in 94% of the patients subjectively. Objectively there was a good result in 74% of the cases. Relatively few complications and reoperations occurred. However 20% of the patients interviewed had postoperative pain more than one year after the operation. The results of the operations are reviewed and discussed. There was no significant difference between the results of the surgical procedure a.m. Stenström and a.m. Nordzell.
Subject(s)
Ear, External/surgery , Otologic Surgical Procedures/methods , Plastic Surgery Procedures/methods , Adolescent , Adult , Child , Child, Preschool , Female , Humans , Male , Middle Aged , Otologic Surgical Procedures/adverse effects , Pain, Postoperative/diagnosis , Plastic Surgery Procedures/adverse effects , ReoperationABSTRACT
Ranula is a cystic swelling of the floor of the mouth, which is usually unilateral and relatively uncommon. The cyst arises from the sublingual salivary gland. We reviewed 14 patients operated in the period 1976-April 1998. There was no recurrence after marsupialization and after extirpation of the sublingual gland. Fourteen percent of the patients had recurrence after extirpation of the cyst. At the follow-up time (average 8.1 years) 18.2% had complications. We suggest that marsupialization/extirpation of the cyst should be primary treatment. In case of recurrence the sublingual gland should be extirpated.
Subject(s)
Mouth Diseases/surgery , Ranula/surgery , Adolescent , Adult , Child , Child, Preschool , Female , Follow-Up Studies , Humans , Male , Middle Aged , Recurrence , Sublingual Gland/surgeryABSTRACT
A twenty-year old woman was admitted to hospital with impaired consciousness and a left hemiparesis. A cerebral CAT-scanning was reported normal. Convulsions and respiratory insufficiency made intubation and mechanical ventilation necessary. Laboratory examination showed an extremely low concentration of albumin in plasma (109 microM) and gross albuminuria was present. No other signs of renal failure occurred. The patient deteriorated during three days and died with signs of cerebral incarceration, despite efforts to reduce intracranial pressure. Autopsy showed a large thrombus of the sagittal sinus as the presumed cause of death. No thrombus was found in the renal vein. The association between nephrotic syndrome and thrombosis is discussed.
