ABSTRACT
RESUMEN Introducción: las enfermedades cardiovasculares ocupan el primer lugar de mortalidad a escala mundial, por lo que es importante conocer los factores de riesgo más frecuentes en pacientes con cardiopatía isquémica. Objetivo: describir la frecuencia de los factores de riesgo en pacientes con cardiopatía isquémica internados en el Hospital de la Fundación Tesãi, Ciudad del Este, Paraguay. Metodología: el diseño del estudio fue observacional, descriptivo, retrospectivo y de corte transversal, incluyó 61 pacientes mayores de 20 años internados en el Hospital de la Fundación Tesãi, Ciudad del Este, Paraguay, entre marzo de 2018 y marzo de 2019. Resultados: la edad representativa estuvo en el rango etario de 45 a 64 años en el grupo de hombres, y de 65 a 74 años en el grupo de mujeres, con predominio del sexo masculino. Los factores de riesgo más relevantes fueron la hipertensión arterial y la dislipidemia. Sin embargo, el tabaquismo fue el menos frecuente. Conclusión: la hipertensión arterial y dislipidemia son los factores de riesgo más frecuentes.
ABSTRACT Introduction: cardiovascular diseases occupy the first place of mortality worldwide, so it is important to know the most frequent risk factors in patients with ischemic heart disease. Objective: to describe the frequency of risk factors in patients with ischemic heart disease admitted to the Hospital de la Fundación Tesãi, Ciudad del Este, Paraguay. Methodology: the study design was observational, descriptive, retrospective and cross-sectional, it included 61 patients older than 20 years admitted to the Hospital de la Fundación Tesãi, Ciudad del Este, Paraguay, between March 2018 and March 2019. Results: the representative age was in the age range of 45 to 64 years in the group of men, and 65 to 74 years in the group of women, with a predominance of males. The most relevant risk factors were arterial hypertension and dyslipidemia. However, smoking was the least frequent. Conclusion: arterial hypertension and dyslipidemia are the most frequent risk factors.
ABSTRACT
INTRODUCTION AND AIM: The detection of hepatitis B virus (HBV) depends on primary care center activity. The present study aims to investigate the impact of peer-to-peer sessions with hepatologists on hepatitis B screening efficacy in primary care centers. MATERIAL AND METHODS: Peer-to-peer one-hour sessions were scheduled to improve the screening program for HBV in Seville, Spain. The sessions were focused on who should be tested for HBV and how positive cases should be referred. Fourteen out of 26 health care centers were selected to participate in peer-to-peer sessions. The centers were classified according to how many sessions they held (no sessions, one session or more than one session). RESULTS: Over a five-year period, HBV screening was performed in 32 203 people. In Seville, the prevalence of HBsAg was 0.87% (283/32 203). The detection rates for new HBsAg-positive cases were 7.1, 16.9 and 21.3 cases/105 population/year in non-session, one-time session and more than one session centers, respectively (p < 0.05). The rate of patients who effectively visited centers as outpatients was significantly higher after peer-to-peer sessions-86/94 (91%) for one session and 81/89 (91%) for two session centers vs. 16/27 (67%) for non-session centers (p = 0.002). The only independent predictor of patient referral was peer-to-peer sessions (OR, 1.925 [95% CI, 1.002-3.699]; p < 0.05). CONCLUSIONS: Peer-to-peer sessions in primary care centers increased HBV detection and visitation rates.
Subject(s)
Attitude of Health Personnel , Gastroenterologists/psychology , Health Knowledge, Attitudes, Practice , Hepatitis B, Chronic/diagnosis , Peer Influence , Physicians, Primary Care/psychology , Primary Health Care/methods , Biomarkers/blood , Female , Hepatitis B Surface Antigens/blood , Hepatitis B virus/immunology , Hepatitis B, Chronic/blood , Hepatitis B, Chronic/virology , Humans , Interdisciplinary Communication , Male , Patient Care Team , Predictive Value of Tests , Referral and Consultation , Spain , Time FactorsABSTRACT
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Subject(s)
Humans , Male , Aged, 80 and over , Aeromonas caviae/isolation & purification , Cholecystitis, Acute/microbiology , Venous Thrombosis/microbiology , Mesenteric Veins/microbiology , Gram-Negative Bacterial Infections/complicationsSubject(s)
Helicobacter Infections/complications , Helicobacter pylori/isolation & purification , Hepatitis A/complications , Adolescent , Female , Helicobacter Infections/epidemiology , Hepatitis A/epidemiology , Humans , Male , Prevalence , Seroepidemiologic Studies , Spain/epidemiology , Young AdultABSTRACT
Mycoplasma pneumoniae has been associated with cholestatic hepatitis in children, while in adults, the lack of liver involvement has been considered as a typical feature of M. pneumoniae infection. Controversial data have been reported about the possibility of liver involvement with M. pneumoniae community-acquired pneumonia. We present two cases of acute hepatitis associated with M. pneumoniae infection without lung involvement.
