Revista Medica del Uruguay最新文献_第9页

Recomendaciones del Grupo interdisciplinario intersociedades científicas e intercátedras de Uruguay 乌拉圭科学学会间和主席间跨学科小组的建议

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Revista Medica del Uruguay Pub Date : 2020-04-30 DOI: 10.29193/rmu.36.1.12

Sociedad de Infectología Clínica del Uruguay, Facultad de Medicina Udelar Cátedra Enfermedades Infecciosas, Sociedad Uruguaya de Emergencistas, Sociedad de Medicina Veterinaria del Uruguay, Facultad de Medicina Udelar Dpto. Medicina Familiar y Comunitaria, S. E. D. M. F. Y. Comunitaria, Sociedad Uruguaya de Enfermería en Cuidados Intensivos, Sociedad Uruguaya de Neumología, Asociación Latinoamericana para el Control de Infecciones, Sociedad Uruguaya de Nefrología, Sociedad Uruguaya de Gerontología y Geriatría del Uruguay, Departamento de Salud Ocupacional. Facultad de Medicina. Udelar

{"title":"Recomendaciones del Grupo interdisciplinario intersociedades científicas e intercátedras de Uruguay","authors":"Sociedad de Infectología Clínica del Uruguay, Facultad de Medicina Udelar Cátedra Enfermedades Infecciosas, Sociedad Uruguaya de Emergencistas, Sociedad de Medicina Veterinaria del Uruguay, Facultad de Medicina Udelar Dpto. Medicina Familiar y Comunitaria, S. E. D. M. F. Y. Comunitaria, Sociedad Uruguaya de Enfermería en Cuidados Intensivos, Sociedad Uruguaya de Neumología, Asociación Latinoamericana para el Control de Infecciones, Sociedad Uruguaya de Nefrología, Sociedad Uruguaya de Gerontología y Geriatría del Uruguay, Departamento de Salud Ocupacional. Facultad de Medicina. Udelar","doi":"10.29193/rmu.36.1.12","DOIUrl":"https://doi.org/10.29193/rmu.36.1.12","url":null,"abstract":"The recommendations included in this document are under continuous review and will be modified according to the epidemiological situation. Therefore, given the probable scenario of sustained community transmission of SARS-CoV-2, and to meet the demand for care at all levels, it is essential to ensure the response capacity of the health system. We face an over-demand at the pre-hospital level, and, foreseeing an eventual saturation of the other levels of care, the following recommendations are made regarding material resources, health personnel, diagnostic studies, and specific antiviral treatment.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"83 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80645210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Melanoma cutáneo en Uruguay: características clínico-epidemiológicas y sobrevida en cohorte de pacientes de dos centros de referencia en el período 2008-2017 乌拉圭皮肤黑色素瘤:2008-2017年两个参考中心患者队列的临床-流行病学特征和生存率

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Revista Medica del Uruguay Pub Date : 2020-04-21 DOI: 10.29193/rmu.36.2.4

Dahiana Amarillo, Daniela De Boni, F. Nantes, Clara Tambasco, Carlos Brayer, C. Palacios, Virginia Giachero, Gabriel Krygier

{"title":"Melanoma cutáneo en Uruguay: características clínico-epidemiológicas y sobrevida en cohorte de pacientes de dos centros de referencia en el período 2008-2017","authors":"Dahiana Amarillo, Daniela De Boni, F. Nantes, Clara Tambasco, Carlos Brayer, C. Palacios, Virginia Giachero, Gabriel Krygier","doi":"10.29193/rmu.36.2.4","DOIUrl":"https://doi.org/10.29193/rmu.36.2.4","url":null,"abstract":"El melanoma cutaneo es el tumor que mas ha aumentado en incidencia en los ultimos anos. Presenta alta letalidad en estadios avanzados. En nuestro pais el promedio anual de casos seria de 129 en hombres, 117 en mujeres, con 50 y 30 muertes anuales respectivamente.Objetivo: describir y analizar el perfil clinico-epidemiologico y sobrevida de una cohorte de pacientes portadores de melanoma cutaneo asistidos en dos centros de referencia en Montevideo en el periodo comprendido entre 2008 y 2017.Metodo: se realizo un estudio descriptivo, retrospectivo, observacional de cohortes historicas en base a revision de historias clinicas de los pacientes con diagnostico de melanoma cutaneo asistidos en el Servicio de Oncologia del Hospital de Clinicas y en la Unidad de Oncologia cutanea del Instituto Nacional del Cancer en el periodo comprendido entre 2008 y 2017, con un seguimiento de los casos hasta el 31 de julio de 2018.Resultados: se analizaron 173 pacientes, mediana de edad 61,2 anos (14-89), 50,3% de sexo masculino y 49,7% de sexo femenino. La forma anatomo-clinica nodular fue la mas frecuente (32,7%), seguida de la extensiva superficial (28,9%), siendo el resto menos frecuentes. No fue alcanzada la mediana de sobrevida global (SVG), siendo la tasa de SVG a cinco anos de 68,5% y a diez anos de 54,5%. La mediana de SVG en EIV fue de 12 meses (IC 95% 8,5-21,5).Conclusiones: los resultados de nuestra serie en SVG son similares a los reportados a nivel mundial, al igual que en la mayoria de las caracteristicas clinico-epidemiologicas. Se trata del primer trabajo con reporte de sobrevida en melanoma cutaneo en nuestro pais.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81984063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Valor de la imagenología (TC y PET-TC) en el diagnóstico de la carcinomatosis peritoneal. Estudio preliminar 影像学(ct和pet - ct)在腹膜癌诊断中的价值。初步研究

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Revista Medica del Uruguay Pub Date : 2020-04-21 DOI: 10.29193/rmu.36.2.5

Á. Castro, Leandro Telles, Gabriela Rodríguez Cantera, D. González, F. González, L. R. Martínez

{"title":"Valor de la imagenología (TC y PET-TC) en el diagnóstico de la carcinomatosis peritoneal. Estudio preliminar","authors":"Á. Castro, Leandro Telles, Gabriela Rodríguez Cantera, D. González, F. González, L. R. Martínez","doi":"10.29193/rmu.36.2.5","DOIUrl":"https://doi.org/10.29193/rmu.36.2.5","url":null,"abstract":"Imagenology contributes to the accurate diagnosis of peritoneal compromise in the assessment of peritoneal carcinomatosis, although its effectiveness is still limited. CT is the most frequently used study and PET/CT is graduallly more requested in the assessment of different neoplasms. This study aims to assess performance of CT and PET/CT for diagnosis of peritoneal carcinomatosis in digestive and gynecological tumours.Method: retrospective, observational study of 11 cases operated on peritoneal carcinomatosis after a CT and/or PET/CT had been performed. The results of both image studies were analysed separately and altogether and they were subsequently compared to intraoperative and pathology studies.Results: CT matched findings in 8 out of 10 cases (sensitivity 78%, specificity 100%, positive predictive value 100%, negative predictive value 33%), whereas PET/TC matched in 9 out of 11 patients (sensitivity 100%, PPV 81%). When considered together, sensitivity was 100% y el PPV de 82%.Conclusions: the results of the study confirm imagenology studies overestimate peritoneal carcinomatosis based on the characteristics of nodules and its uptake pattern. In CT/PET, SUV> 6 could increase the probability of diagnosing carcinomatosis. This small series of cases enables our suggesting CT and 18F-FDG PET-TC to be requested and analysed together to increase its efficiency, although surgical exploration continues to be the most effective method to diagnose and assess peritoneal carcinomatosis.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"185 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80587090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simulación en laparoscopía avanzada con un modelo de anastomosis entero-entérica 高级腹腔镜模拟与肠-肠吻合模型

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Revista Medica del Uruguay Pub Date : 2020-01-01 DOI: 10.29193/rmu.36.2.7

Javier Chinelli, Gustavo Rodríguez

{"title":"Simulación en laparoscopía avanzada con un modelo de anastomosis entero-entérica","authors":"Javier Chinelli, Gustavo Rodríguez","doi":"10.29193/rmu.36.2.7","DOIUrl":"https://doi.org/10.29193/rmu.36.2.7","url":null,"abstract":"Introducción: la enseñanza de la cirugía atraviesa un cambio de paradigma, siendo el entrenamiento en laparoscopía avanzada uno de sus mayores desafíos. El objetivo de este estudio es describir y evaluar la experiencia de un servicio de cirugía universitario con un modelo de entrenamiento simulado de anastomosis intestinal laparoscópica. Método: tres residentes de cirugía general completaron un programa de entrenamiento de cuatro semanas. Se utilizó un modelo biológico ex vivo en box trainer, evaluando objetivamente la realización de una anastomosis entero-entérica. Resultados: el tiempo de ejecución del procedimiento se redujo en una media de 15 minutos, con una mejoría significativa del desempeño según la escala OSATS. Discusión: la implementación de un programa validado y modificado de simulación en laparoscopía avanzada permitió obtener resultados positivos, utilizando para ello solo el 4% de la carga horaria semanal curricular. El modelo tiene una alta fidelidad, bajo costo y es fácilmente reproducible. Conclusiones: el entrenamiento simulado en laparoscopía es una herramienta obligatoria y beneficiosa durante la formación del cirujano general.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"11 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78966472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tamizaje del cáncer de cuello uterino con test de HVP. Primeros resultados en el sistema público de Uruguay 宫颈癌筛查与HVP测试。乌拉圭公共系统的第一个结果

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Revista Medica del Uruguay Pub Date : 2019-11-04 DOI: 10.29193/rmu.35.4.3

G. Rodríguez, L. García, Andrea Beracochea, Rafael Alonso, Benedicta Caserta, N. Pérez, Dolores Larrosa, María Vero, G. Ardao, M. Santos, Mary Luz Solís Hernández, Maribel Almonte, Rolando Herrero, Grupo Estampa Uruguay

{"title":"Tamizaje del cáncer de cuello uterino con test de HVP. Primeros resultados en el sistema público de Uruguay","authors":"G. Rodríguez, L. García, Andrea Beracochea, Rafael Alonso, Benedicta Caserta, N. Pérez, Dolores Larrosa, María Vero, G. Ardao, M. Santos, Mary Luz Solís Hernández, Maribel Almonte, Rolando Herrero, Grupo Estampa Uruguay","doi":"10.29193/rmu.35.4.3","DOIUrl":"https://doi.org/10.29193/rmu.35.4.3","url":null,"abstract":"Introduction: in Uruguay, cervical cancer occupied the third place with an average incidence of 312 new cases per year. 134 women died in the 2010 -2014 period. Objective: the study aims to analyse the first results in a pilot experience with the application of Hybrid Capture® 2 High-Risk HPV DNA Test™ (hc2) (Qiagen) as the primary screening test for cervical cancer, in the Department of Canelones. Method: 1.010 asymptomatic women whose ages ranged between 30 and 64 years old were studied when they requested a pap smear at two units of sample taking within the Cervical Cancer Prevention Program. Samples were taken along with the pap smear, and sent to one of the cytology labs in the primary health care network, the HPV sample being processed with the hybrid capture technique in the molecular biology laboratory of the Pereira Rossell Hospital Center. Users with abnormal HPV+ and abnormal pap smear results (ASCUS+) were referred to colposcopy, with subsequent biopsy and treatment if required. Results: HPV test was positive in 126/1010 women (12.5%) and PAP was abnormal in 167/1010 cases (16.5%). HPV test was positive in all cases CIN2+ 13/13 (100%) whereas PAP was abnormal (ASCUS+) in 7/13 54%) for CIN2+ in biopsy. Conclusion: HPV test was more effective and efficient than pap smear to detect pre-cancer lesions in the cervix.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"47 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87381783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Úlceras vulvares agudas en adolescentes, reporte de una serie de casos clínicos 青少年急性外阴溃疡，一系列临床病例报告

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Revista Medica del Uruguay Pub Date : 2019-11-04 DOI: 10.29193/rmu.35.4.9

Lúcia Moreira, Loreley García, A. Casuriaga, G. Giachetto, Víctor Machín

{"title":"Úlceras vulvares agudas en adolescentes, reporte de una serie de casos clínicos","authors":"Lúcia Moreira, Loreley García, A. Casuriaga, G. Giachetto, Víctor Machín","doi":"10.29193/rmu.35.4.9","DOIUrl":"https://doi.org/10.29193/rmu.35.4.9","url":null,"abstract":"Introduction: genital ulcers are characterized by great clinical and etiological heterogeneity. They may correspond to infectious or non-infectious skin or systemic pathologies. Lipschutz ulcer and Behcet disease stand out among non-infectious conditions. Objective: to describe four clinical cases of adolescents with non-infectious severe vulvar ulcers hospitalized in two institutions of the national integrated health system in Montevideo, with the purpose of providing professionals with tools for the adequate diagnostic and therapeutic approach. Discussion: a detailed anamnesis questionnaire and a thorough physical examination are of the essence for an adequate diagnostic and therapeutic approach. The clinical analysis should include considering the patient’s age, initiation of sexual intercourse, the number, topography and characteristics of the ulcers including finding out whether there is pain or not, as well as the association of systemic manifestations. It is important to learn about this rather unusual condition in girls and adolescents, whose diagnostic and therapeutic approach depends on the etiological orientation based on well-defined epidemiological and clinical criteria. This will contribute to improving the quality of assistance and minimizing biological and psychological effects.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"43 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86622862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Evaluación del seguimiento radiográfico para desplazamiento de cadera en pacientes con parálisis cerebral en el Centro Hospitalario Pereira Rossell 佩雷拉罗塞尔医院中心脑瘫患者髋关节移位的影像学随访评估

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Revista Medica del Uruguay Pub Date : 2019-11-04 DOI: 10.29193/rmu.35.4.4

Ignacio Rehbein, Viviana Teske, J. V. Heideken

{"title":"Evaluación del seguimiento radiográfico para desplazamiento de cadera en pacientes con parálisis cerebral en el Centro Hospitalario Pereira Rossell","authors":"Ignacio Rehbein, Viviana Teske, J. V. Heideken","doi":"10.29193/rmu.35.4.4","DOIUrl":"https://doi.org/10.29193/rmu.35.4.4","url":null,"abstract":"Introduction: hip luxation is a severe complication in patients with cerebral palsy (CP), especially in gross motor functional classification system (GMFCS) III-V patients. Pelvic x-rays are necessary to identify this condition.Objectives: to assess the x-ray follow-up in these patients and the early detection of this complication in our hospital. Method: the medical records and x-rays of 17 GMFCS III-V patients who were between 2 and 8 years old at the time of index pelvic x-ray were reviewed, measurement of the hip migration percentage according to Reimer´s index, the cervical-diaphyseal angle and calculation of the CPUP hip score for each hip. We assessed the follow-up x-ray a year later or later than that date, and in the even this had not happened, we would call the patients in for a control x-ray to identify the hips with an increase migration risk.Results: 3 (18%) out of 17 patients assessed underwent a new pelvic x-ray a year later. 6 patients (35%) underwent one later than one year after and prior to the control visit planned, 7 (41%) patients were never controlled and they were called for a new x-ray in 2018. One patient (6%) was lost during follow-up. One patient had an increased risk hip (CPUP Score 50-60%), the rest had normal migration percentages.Conclusions: few patients with PC GMFCS III-V underwent annual follow-up. Those monitored did not evidence progression of this condition. This study and the relevant literature back up the introduction of a surveillance program in our hospital.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"141 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77025859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluación de la producción quirúrgica de residentes de Cirugía General luego de la implementación del cuarto año curricular. Clínica Quirúrgica 3. Hospital Maciel (2011-2015) 普外科住院医师实施第四年课程后的手术生产评价。外科诊所3。马西尔医院(2011-2015)

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Revista Medica del Uruguay Pub Date : 2019-11-04 DOI: 10.29193/rmu.35.4.6

D. González, Leandro Telles, Cecilia Chambon, Gustavo Armand Ugón, G. Wagner, Pablo Valsangiacomo

{"title":"Evaluación de la producción quirúrgica de residentes de Cirugía General luego de la implementación del cuarto año curricular. Clínica Quirúrgica 3. Hospital Maciel (2011-2015)","authors":"D. González, Leandro Telles, Cecilia Chambon, Gustavo Armand Ugón, G. Wagner, Pablo Valsangiacomo","doi":"10.29193/rmu.35.4.6","DOIUrl":"https://doi.org/10.29193/rmu.35.4.6","url":null,"abstract":"The general surgeons training program is under the responsibility of the Surgical Clinics of the School of Medicine. The 3-year training program evidenced deficiencies in terms of the volume and complexity of the surgeries carried out by the different residents. Objective: to present the surgical outcome of the General Surgery residents after the implementation of the fourth year in the curriculum of graduate studies of the Surgical Clinic 3 at Maciel Hospital and to compare it to that of the residents trained in the previous 3-year studies plan. Method: observational, descriptive and retrospective study of the surgical outcome of residents of the Surgical Clinic 3 who studied in the 2011-2015 period. Below follow the variables considered: total number of surgeries carried out by all residents, average number of surgeries per year and per resident, maximum and minimum number of surgeries by a resident, total percentage of coordination and urgent surgeries and average number of surgeries by resident according to the classification into high complexity, complex, regular and minor. Data were taken from the ASSE surgery description system - Maciel Hospital. Conclusions: increasing one year the duration of the general surgery residence resulted in a higher number and complexity of surgeries carried out by the residents of Surgical Clinic 3 at Maciel Hospital, as well as an increase in the coordination surgeries when compared to urgency and emergency surgeries.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"33 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82560179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cannabis medicinal como recurso terapéutico: estudio preliminar

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Revista Medica del Uruguay Pub Date : 2019-11-04 DOI: 10.29193/rmu.35.4.5

Julia Galzerano Guida, Cecilia Carina Orellana Navone, María Daniela Ríos Pérez, A. González, Pablo Mariano Velázquez Ramos

{"title":"Cannabis medicinal como recurso terapéutico: estudio preliminar","authors":"Julia Galzerano Guida, Cecilia Carina Orellana Navone, María Daniela Ríos Pérez, A. González, Pablo Mariano Velázquez Ramos","doi":"10.29193/rmu.35.4.5","DOIUrl":"https://doi.org/10.29193/rmu.35.4.5","url":null,"abstract":"Introduction: Cannabis sativa L products have a known therapeutic efficacy since ancient times, although their pharmacological classification dates from the mid-twentieth century. Recently its use was regularized in Uruguay.Objective: to analyze a preliminary therapeutic clinical experience with medicinal cannabis (CM) with a high content of cannabidiol (CBD).Method: an observational and retrospective epidemiological study of a cohort of 355 patients who attended to spontaneously consult CM in a private clinic between August 2016 and December 2017. During the first interview demographic data, clinical history, pharmacological, expectations and experience were collected previous with cannabis. Cannabis was indicated mostly with high CBD content (5.25% CBD and 0.2% tetrahydrocannabinol [THC]). In subsequent consultations, access to the CM was investigated and its response and adverse effects were assessed using analog scales. Descriptive statistics was used. Results: in the cohort studied, women with an average age of 67 years, tertiary education level predominated. The consultation pathologies were neurological (38%), rheumatic or arthro-degenerative diseases (37%), neoplasms (13%), psychiatric (4%) and miscellaneous (8%). The majority of these cases (60.6%) reported improvement of their symptoms and only 16.3% of the population studied presented mild side effects. The high costs and difficult management to achieve CM were causes for not starting or abandoning treatment. Conclusions: our preliminary study reflects a positive therapeutic response without significant adverse effects to CM with high CBD content. 60.6% of treated patients reported improvement of their symptoms. The decisive factors for a successful treatment are aimed at facilitating access to the CM, improving management to obtain it and reducing costs for greater accessibility.","PeriodicalId":51931,"journal":{"name":"Revista Medica del Uruguay","volume":"46 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87551706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

1er Consenso Uruguayo de Anticuerpos Antinucleares Departamento de Laboratorio Clínico, Unidad de Enfermedades Autoinmunes Sistémicas, Hospital de Clínicas Unidad de Enfermedades Autoinmunes Sistémicas, Hospital Pasteur 第一份乌拉圭抗核抗体共识，临床实验室，系统自身免疫性疾病单位，临床医院系统自身免疫性疾病单位，巴斯德医院

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Revista Medica del Uruguay Pub Date : 2019-11-04 DOI: 10.29193/rmu.35.4.7

Natalia Rodríguez, Celia Buzzi, E. Cairoli, Luís Eduardo Coelho Andrade, Ã. Danza, Cecilia Montenegro, Raquel Ballesté

引用次数: 0