ABSTRACT
En la actualidad, el olfato es considerado uno de los sistemas sensoriales más complejos y desconocidos que existen. La reciente investigación ha descubierto una posible relación entre la pérdida de olfato y enfermedades neurodegenerativas, centrándose en su papel como indicador precoz. El objetivo del presente estudio se centra en analizar la variable tiempo de reconocimiento (TRC) del test de Valoración de Estímulos Olfativos Cotidianos Abreviado (V.E.O.C.A.) y su relación con la edad y el tipo de anosmia de los participantes. Se utilizó una muestra de 64 sujetos con anosmia, derivados del Hospital Universitario Fundación de Alcorcón (HUFA). Los resultados mostraron diferencias significativas en el TRC respecto a las variables analizadas. Estos hallazgos sugieren una posible influencia de ciertos aspectos cognitivos, en consonancia con estudios previos. Se concluye la existencia de mayores puntuaciones de TRC en el caso de la anosmia traumática y en los jóvenes con respecto al resto de grupos
Currently, smell is considered one of the most complex and unknown sensory system that exist. A recent research concluded that there is a possible relationship between the loss of smell and neurodegenerative diseases, focusing on its importance like an early indicator. The present study focuses on the relationship between the variable Recognition Time (RCT) of the Valoración de Estímulos Olfativos Cotidianos Abreviado (V.E.O.C.A.) test, age, and type of anosmia. A sample of 64 subjects with anosmia derived from the Alcorcón Foundation University Hospital was used for the study. The results indicated TRC significant differences in the variables analyzed. These findings suggested a possible influence of cognitive aspects, according with previous studies. Higher scores were found on TRC in the cases of the traumatic anosmia and young people compared to the rest of groups
Subject(s)
Humans , Olfaction Disorders/etiology , Sensation Disorders/diagnosis , 50293 , Cognition/physiology , Virus Diseases/complications , Neurodegenerative Diseases/complicationsABSTRACT
BACKGROUND: Surgical wound infection is an important complication of spinal surgery. Antibiotic prophylaxis has served to decrease its rates significantly, with the ensuing reduction in hospital stay, costs, and morbidity and mortality. To date, a large assessment of the degree of compliance with antibiotic prophylaxis in spinal fusion surgery has not been undertaken in Spain with large prospective studies. We sought to assess the degree of compliance with our antibiotic prophylaxis protocol among patients who underwent spinal fusion surgery and its effect on surgical wound infection. MATERIAL AND METHODS: A prospective cohort study was carried out. Six hundred and forty patients with at least 1-year clinical followup who underwent spinal fusion surgery were included. Percentage of administration and degree of compliance with protocol was studied. Both overall and the different aspects of prophylaxis received by patients to those stipulated in the protocol in force at our hospital were compared. Percentages of compliance were assessed and the effect of prophylaxis compliance on the incidence of infection was estimated using the Relative Risk. RESULTS: The study covered 640 patients. Overall compliance with the protocol was 71.5% (95% CI = 67.9- 75.1). The most frequent cause of non-compliance with the protocol was the duration of recommended antibiotic prophylaxis (77.8%). Incidence of surgical wound infection was 4.1% (95% CI: 2.5-5.5). No relationship was found between surgical wound infection and antibiotic prophylaxis non-compliance (RR 0.92, 95% CI = 0.38-2.22). CONCLUSIONS: Compliance and administration of antibiotic prophylaxis were high. Surgical wound infection rate was similar to those found in the literature although there is always room for improvement.
Subject(s)
Antibiotic Prophylaxis/methods , Medication Adherence , Spinal Fusion/methods , Surgical Wound Infection/prevention & control , Adult , Aged , Anti-Bacterial Agents/therapeutic use , Cohort Studies , Female , Follow-Up Studies , Humans , Incidence , Male , Middle Aged , Prospective Studies , Spain , Surgical Wound Infection/epidemiologyABSTRACT
El hamartoma nasal es una lesión rara que se caracteriza por una mezcla de varios tipos de tejidos. Es aún más rara su localización en la fosa nasal. Presentamos el caso de una mujer de 35 años con un hamartoma en la pared posterosuperior de la fosa nasal derecha. Resecamos el tumor mediante cirugía endoscópica. Los hamartomas deben entrar en el diagnóstico diferencial de las masas unilaterales de la nariz, junto con los papilomas invertidos y los tumores malignos (AU)
Nasal hamartoma is a rare lesion characterized by a mix of several tissue types. Its location in the nasal septum is even more rare. We report the case of a 35-year-old woman presenting hamartoma in the posterosuperior part of the right nasal cavity. Complete surgical resection by functional endoscopic sinus surgery was the treatment of choice to remove it completely. Hamartomas must be included in the differential diagnostic of unilateral nasal masses, along with inverted papillomas and malignant tumours (AU)
Subject(s)
Humans , Female , Adult , Hamartoma/diagnosis , Hamartoma/surgery , Nose Diseases/diagnosis , Nose Diseases/surgery , Magnetic Resonance Imaging , Diagnosis, DifferentialABSTRACT
Nasal hamartoma is a rare lesion characterized by a mix of several tissue types. Its location in the nasal septum is even more rare. We report the case of a 35-year-old woman presenting hamartoma in the posterosuperior part of the right nasal cavity. Complete surgical resection by functional endoscopic sinus surgery was the treatment of choice to remove it completely. Hamartomas must be included in the differential diagnostic of unilateral nasal masses, along with inverted papillomas and malignant tumours.
Subject(s)
Hamartoma , Nose Diseases , Adult , Female , Hamartoma/diagnosis , Hamartoma/surgery , Humans , Nose Diseases/diagnosis , Nose Diseases/surgeryABSTRACT
OBJECTIVE: To investigate the epidemiologic data in 165 patients suffering nasal polyposis. MATERIAL AND METHOD: We collected different variables that included age, gender, asthma, ASA sensitive, allergic rhinitis, smoker, drinker, familiar history. We studied the main symptoms (nasal blockage, rhinorrhea, anosmia, and headache) as well as otological and dermatological involvement. RESULTS: Nasal polyposis affects men (63%) more frequently, with a mean age of 46.5 years. Asthma was found in 36.6 % of patients with nasal polyposis. The most frequent symptom was nasal blockage (88 %) followed by anosmia (78 %). Ears were affected in 42 % of patients and 20 % of first-degree relatives also suffer the same condition. CONCLUSIONS: Nasal polyposis affects both genders in middle age and may have an associated genetic factor in some patients. We must rule out asthma in all these patients.
Subject(s)
Nasal Polyps/epidemiology , Nasal Polyps/pathology , Adult , Asthma/epidemiology , Female , Headache/epidemiology , Humans , Male , Middle Aged , Olfaction Disorders/epidemiology , Prevalence , Rhinitis, Allergic, Perennial/epidemiologySubject(s)
Nasal Obstruction/etiology , Optic Nerve/abnormalities , Sphenoid Sinus , Adult , Female , HumansABSTRACT
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Subject(s)
Humans , Female , Adult , Optic Nerve/abnormalities , Nasal Obstruction/etiology , Sphenoid Sinus , Ethmoid Bone/pathologyABSTRACT
Objetivo: Realizar un estudio descriptivo de los pacientes con poliposis nasal. Material y método: Estudiamos las variables: edad, sexo, asma, intolerancia a los antiinflamatorios no esteroideos, rinitis alérgica, antecedentes familiares, hábitos (fumador, bebedor), síntomas mayores (obstrucción nasal, rinorrea, pérdida de olfato y cefalea) y afectación otológica y dermatológica. Resultados: Afecta más a varones (63 %) con una media de edad de 46,5 años. Un 36,6 % de los pacientes presenta asma asociada. El síntoma más frecuente es la obstrucción nasal (88 %), seguido de la pérdida de olfato (78 %). Los oídos se afectan en un 42 % de los pacientes. Hay un 20 % de pacientes de primer grado afectados de la misma enfermedad. Conclusiones: La poliposis nasal es una enfermedad que afecta a ambos sexos en la edad media de la vida. En algunos pacientes puede tener relación con un factor genético. En todo paciente con poliposis nasal debemos estudiar la presencia de asma (AU)
Objective: To investigate the epidemiologic data in 165 patients suffering nasal polyposis. Material and method: We collected different variables that included age, gender, asthma, ASA sensitive, allergic rhinitis, smoker, drinker, familiar history. We studied the main symptoms (nasal blockage, rhinorrhea, anosmia, and headache) as well as otological and dermatological involvement. Results: Nasal polyposis affects men (63%) more frequently, with a mean age of 46.5 years. Asthma was found in36.6 % of patients with nasal polyposis. The most frequent symptom was nasal blockage (88 %) followed by anosmia (78 %). Ears were affected in 42 % of patients and 20 % of first-degree relatives also suffer the same condition. Conclusions: Nasal polyposis affects both genders in middle age and may have an associated genetic factor in some patients. We must rule out asthma in all these patients (AU)
