Mortalidad por trastornos mentales y por causas externas: análisis de una Década en Argentina / Mortality due to mental disorders and external causes: analysis of a decade in Argentina

Objetivo: analizar las tasas de mortalidad de Trastornos Mentales y del Comportamiento (TMyC) y de las Causas Externas (CE) en las Estadísticas Vitales de Argentina, periodo 2000-2009.Metodología: se utilizó las bases de datos de defunciones, Argentina, años 2000 a 2009, de la Dirección de Estadísticas e Información en Salud Ministerial. Se construyeron tasas generales y específicas. Las estimaciones poblacionales, se obtuvieron a partir del aplicativo AGEINT. Según la distribución de la variable, se utilizó análisis de la varianza o test no paramétricos. Resultados: se observa un comportamiento disímil de la tasa de mortalidad por TMyC según sexo, pero con un comportamiento similar por cada año. Los TMyC y las CE, comprometen a la población adulta del país, con tasas mayores en el grupo de varones.Conclusión: tener en cuenta el impacto de los TMyC y CE, permite diseñar políticas públicas en salud adecuadas a las realidades de cada contexto(AU)

Objective: To analyze mortality rates due to mental and behavioral disorders (MBD) and external causes (EC) using Vital Statistics of Argentina, 2000-2009.Methods: Mortality data 2000-2009 were obtained from the Bureau of Statistics and Information, Ministry of Health, Argentina. General and specific rates were set up. Population estimates were obtained from the AGEINT application. According to the distribution of the variable, analysis of variance or nonparametric tests were used.Results: Dissimilar MBD mortality rates according to sex were observed, but with a similar pattern each year. The MBD and EC affect the adult population of the country, with higher rates in the male group.Conclusion: Taking into account the impact of MBD and EC, allows the design of public policies suitable to the realities of each health context(AU)

Mortalidad por trastornos mentales y por causas externas: análisis de una Década en Argentina / Mortality due to mental disorders and external causes: analysis of a decade in Argentina

Objetivo: analizar las tasas de mortalidad de Trastornos Mentales y del Comportamiento (TMyC) y de las Causas Externas (CE) en las Estadísticas Vitales de Argentina, periodo 2000-2009.Metodología: se utilizó las bases de datos de defunciones, Argentina, años 2000 a 2009, de la Dirección de Estadísticas e Información en Salud Ministerial. Se construyeron tasas generales y específicas. Las estimaciones poblacionales, se obtuvieron a partir del aplicativo AGEINT. Según la distribución de la variable, se utilizó análisis de la varianza o test no paramétricos. Resultados: se observa un comportamiento disímil de la tasa de mortalidad por TMyC según sexo, pero con un comportamiento similar por cada año. Los TMyC y las CE, comprometen a la población adulta del país, con tasas mayores en el grupo de varones.Conclusión: tener en cuenta el impacto de los TMyC y CE, permite diseñar políticas públicas en salud adecuadas a las realidades de cada contexto

Objective: To analyze mortality rates due to mental and behavioral disorders (MBD) and external causes (EC) using Vital Statistics of Argentina, 2000-2009.Methods: Mortality data 2000-2009 were obtained from the Bureau of Statistics and Information, Ministry of Health, Argentina. General and specific rates were set up. Population estimates were obtained from the AGEINT application. According to the distribution of the variable, analysis of variance or nonparametric tests were used.Results: Dissimilar MBD mortality rates according to sex were observed, but with a similar pattern each year. The MBD and EC affect the adult population of the country, with higher rates in the male group.Conclusion: Taking into account the impact of MBD and EC, allows the design of public policies suitable to the realities of each health context

Frecuencia de trastornos mentales en adultos que concurren a un centro de salud de un barrio de la ciudad de Córdoba / Frequência dos transtornos mentais em adultosatendidos em um centro de saúde de um bairroda cidade de Córdoba / Frequency of mental disorders in adults who attend a health centre in a neighborhood, in the city of Cordoba

Estudios previos revelan que una proporción importante de losconsultantes del primer nivel de atención de salud presentanalgún tipo de Trastorno Mental y del Comportamiento, por loque este nivel ofrece una oportunidad en el manejo oportunode esta problemática.Objetivo: Caracterizar la prevalencia de TMyC enconsultantes de un centro de salud de un barrio de la ciudadde Córdoba.Material y Método: Se utilizó CIDI 3.0, en una muestraprobabilística de 100 consultantes adultos del primer nivelde atención.Resultados: El 96,4% de los entrevistados fueron mujeresy la media de edad de 35±2,6. La frecuencia de TMyC a lolargo de la vida fue del 33,33%. 7,1% de los entrevistadospresentó Trastornos Generalizados de la Ansiedad, 3,6%Desorden Obsesivo Compulsivo y 22,22% algún episodio deDepresión. A partir de estos primeros resultados, el equipode salud local podrá orientar estrategias y políticas públicasque aborden integralmente al consultante.

Previous studies have shown that an important proportion of the patients in first levelhealth care present some kind of Mental and Behavioral Disorder (MBD); thus, this leveloffers a possibility to timely deal with this problem.Objective: To characterize the prevalence of MBD in patients who attend a health carecenter in a neighborhood in the city of Cordoba.Material and Method: CIDI 3.0 was used in a probability sample of 100 adult consultantsat primary level of care.Results: Out of the patients interviewed, 96.4% were women and the mean age was35±2.6. The frequency of MBD along lifetime was 33.33%. A 7.1% of the interviewedpatients presented Generalized Anxiety Disorders, 3.6% Obsessive Compulsive Disorderand 22.22% some Depressive episode. Using these first results, the local health team willbe able to direct strategies and public policies to deal with the patients comprehensively.

Escorbuto: una entidad que aún existe en la medicina moderna / Scurvy still exists in modern medicine

El escorbuto es un trastorno nutricional secundario al déficit corporal de vitamina C. Comunicamos el caso de un paciente de 37 años que consulta por lumbalgia e impotencia funcional de ambos miembros inferiores asociadas ahemorragias mucocutáneas. Destacamos que es su antecedente personal de déficit de vitamina C en la ingesta lo que, sumado a las características lesiones cutáneas, permite diagnosticar la enfermedad (AU)

Scurvy is a nutritional disorder due to vitamin C deficiency.We communicate the case of a 37-year-old patient who came to us with lumbar pain and lower limbs disability, asuell as, mucosa and cutaneous hemorrhages.We remark that dietary history leads to a rapid diagnosis when characteristic cutaneous lesions are present (AU)

Development of cutaneous sarcoidosis in a patient with chronic hepatitis C treated with interferon alpha 2b.

BACKGROUND: Sarcoidosis is a multisystemic granulomatous disorder of unknown etiology that most commonly affects young adults. A probable induction of sarcoidosis by interferons (IFN) has been published. To this date, few cases of cutaneous sarcoidosis inpatients with chronic hepatitis C under interferon treatment have been reported. OBJECTIVE: We describe a 50-year-old woman with chronic hepatitis C who developed lesions of cutaneous sarcoidosis three months after IFN treatment. CONCLUSIONS: The possible role of INF therapy in the development of cutaneous sarcoidosis in a patient with chronic hepatitis C should be considered.

Micosis fungoide folicular / Follicular mycosis fungoides

La micosis fungoide folicular (MFF) es una variante clínica infrecuente de MF. Presentamos el caso de un paciente de 51 años de edad con localización en cuero cabelludo y buena respuesta al tratamiento. Realizamos además una revisión de la literatura

Micosis fungoide folicular / Follicular mycosis fungoides

La micosis fungoide folicular (MFF) es una variante clínica infrecuente de MF. Presentamos el caso de un paciente de 51 años de edad con localización en cuero cabelludo y buena respuesta al tratamiento. Realizamos además una revisión de la literatura (AU)

Sunbed use in Buenos Aires, Argentina.

The objectives were to survey tanning salons in a defined geographic area of Buenos Aires city and to assess the information offered to consumers regarding chronic exposure to ultraviolet radiation, types of radiation used, and safety measures employed. A prospective study using a standardized interview with limited multiple choice responses for data collection was conducted. Results of the interview survey were that 35% of the establishments (tanning salons) said they used UVA exclusively, 6% UVB, and 25% both; 35% did not know the type of radiation to which their clients were exposed. Sunbeds were promoted as healthy in 56% of the tanning salons, whereas potential risks were mentioned in only 15%. One to 3 sessions on the same day were allowed by 84%, while 40% allowed customers to choose the number of weekly sessions. The use of goggles was optional in 65% of the establishments and 21% did not even provide goggles. Use of sunscreens was not compulsory, and none of the salons had associated physicians. Previous history of skin cancer, sunburn or potential photosensitive drug intake were never recorded, and the age of access was not restricted in 71% of the establishments. In Argentina there are no guidelines to regulate the operation of tanning salon establishments or the equipment they use, and there are no specific measures taken to prevent skin and ocular pathologies. Ways to reduce the risks of ocular and skin pathologies from artificial tanning in Argentina are urgently needed.