Assuntos
Staphylococcus aureus Resistente à Meticilina , Neoplasias , Infecções dos Tecidos Moles , Infecções Estafilocócicas , Humanos , Infecções dos Tecidos Moles/complicações , Infecções dos Tecidos Moles/tratamento farmacológico , Staphylococcus aureus , Lipoglicopeptídeos/uso terapêutico , Infecções Estafilocócicas/tratamento farmacológico , Neoplasias/tratamento farmacológico , Antibacterianos/uso terapêutico , Glicopeptídeos/uso terapêuticoRESUMO
INTRODUCTION: The characteristics of users of the Spanish public health system have been evaluated in multiple studies. However, these studies usually refer to users of primary care and emergency services and less frequently to users of specialized services. Some studies have described differences according to patients' geographical origin. OBJECTIVE: To analyze the demographic profile of patients attending our gastroenterology outpatient clinic over a prolonged period. PATIENTS AND METHOD: The geographical origin, age and sex of all patients referred for an initial consultation in the gastroenterology outpatient clinic from 2001-2003 were analyzed. RESULTS: Women accounted for 53.7% of all appointments but no significant differences in referral rates were observed in comparison with men. A total of 65.5% of patients were from urban areas and the referral rate was significantly higher in these patients than in those from rural areas, although attendance rates were equal between patients from the two types of area. Referral rates increased in direct proportion with age; a predominance of referrals was observed in women aged < 74 years and in men aged 75 years or older. Some discrepancies were found among the distinct years analyzed. CONCLUSIONS: In our catchment area, demand is greater in the urban population than in the rural population. No overall differences were found in sex but significant differences were found in age and length of follow-up.
Assuntos
Instituições de Assistência Ambulatorial/estatística & dados numéricos , Gastroenterologia/estatística & dados numéricos , Encaminhamento e Consulta/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Área Programática de Saúde , Demografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , População Rural , Espanha/epidemiologia , População UrbanaRESUMO
Introducción: Las características de los usuarios del sistema sanitario público español han sido evaluadas en múltiples publicaciones. Sin embargo, éstas suelen hacer referencia a los usuarios de atención primaria y urgencias, y menos a la atención especializada. En algunos trabajos se han descrito diferencias en relación con el medio geográfico de procedencia del paciente. Objetivo: Se pretende analizar el perfil demográfico del paciente que acude a nuestras consultas externas de aparato digestivo durante un período prolongado de estudio. Pacientes y método: Se analizó el origen, la edad y el sexo de todas las solicitudes de primera cita para las consultas externas de aparato digestivo durante el trienio 2001-2003. Resultados: El 53,7% del total de las citas fueron generadas por mujeres, pero no se observaron diferencias significativas en las tasas de derivación respecto a los varones. El 65,5,% procedía del área urbana, con una significativa mayor tasa de derivación que el área rural, aunque con iguales índices de frecuentación. Respecto a la edad, se observó un incremento de tasas directamente proporcional a los años, con un predominio de derivaciones femeninas en pacientes = 75 años. Se encontraron algunas discrepancias entre los distintos años analizados. Conclusiones: En nuestra área de referencia se observa una mayor demanda sanitaria de la población urbana respecto a la rural. No se han evidenciado diferencias globales respecto al sexo, pero sí con relación a la edad y el tiempo de seguimiento
Introduction: The characteristics of users of the Spanish public health system have been evaluated in multiple studies. However, these studies usually refer to users of primary care and emergency services and less frequently to users of specialized services. Some studies have described differences according to patients' geographical origin. Objective: To analyze the demographic profile of patients attending our gastroenterology outpatient clinic over a prolonged period. Patients and method: The geographical origin, age and sex of all patients referred for an initial consultation in the gastroenterology outpatient clinic from 2001-2003 were analyzed. Results: Women accounted for 53.7% of all appointments but no significant differences in referral rates were observed in comparison with men. A total of 65.5% of patients were from urban areas and the referral rate was significantly higher in these patients than in those from rural areas, although attendance rates were equal between patients from the two types of area. Referral rates increased in direct proportion with age; a predominance of referrals was observed in women aged < 74 years and in men aged 75 years or older. Some discrepancies were found among the distinct years analyzed. Conclusions: In our catchment area, demand is greater in the urban population than in the rural population. No overall differences were found in sex but significant differences were found in age and length of follow-up
Assuntos
Humanos , Instituições de Assistência Ambulatorial , Gastroenterologia/estatística & dados numéricos , Encaminhamento e Consulta , Demografia , População Rural , Espanha/epidemiologia , População Urbana , Área Programática de SaúdeRESUMO
Renal abscess is a very rare complication of HIV infection, usually occurs in patients with severe immune deficiency. The immune status is the main factor that predict disease advancement. Highly activate antiretroviral therapy (HAART) improve the CD4 cell count. We present a case of renal abscess for Aspergillus niger in a HIV+ patient who complained of right flank mass and fever. We review relevant literature and the management of these patients.
Assuntos
Abscesso Abdominal/etiologia , Terapia Antirretroviral de Alta Atividade , Aspergilose/etiologia , Aspergillus niger , Infecções por HIV/complicações , Infecções por HIV/tratamento farmacológico , Adulto , Humanos , MasculinoRESUMO
El absceso renal es una rara complicación en la infección por VIH y normalmente ocurre en pacientes con severa inmunodeficiencia. El estado inmunitario del paciente es el factor determinante de la progresión de la enfermedad. La terapia antiretroviral de alta eficacia (HAART) mejora el recuento de subpoblaciones linfocitarias CD4. Presentamos un caso de absceso renal por Aspergillus niger en un paciente VIH+, que debutó con una masa en flanco derecho y fiebre. Realizamos una revisión de la literatura y analizamos el manejo en este tipo de pacientes (AU)
Assuntos
Adulto , Masculino , Humanos , Terapia Antirretroviral de Alta Atividade , Aspergillus niger , Infecções por HIV , Abscesso Abdominal , AspergiloseAssuntos
Encéfalo/patologia , Infarto Cerebral/etiologia , Epilepsia/etiologia , Neoplasias Cardíacas/diagnóstico , Aneurisma Intracraniano/etiologia , Mixoma/diagnóstico , Células Neoplásicas Circulantes/patologia , Vasculite/diagnóstico , Adulto , Diagnóstico Diferencial , Ecocardiografia , Neoplasias Cardíacas/cirurgia , Humanos , Imageamento por Ressonância Magnética , Masculino , Mixoma/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Although benign acute pericarditis can be considered a common cardiac complication of Behçet's disease, the association of this systemic vasculitis with constrictive pericarditis has not been described. A case of this peculiar clinical association is presented, and some interesting diagnostic points are discussed.