Boletin de la Asociacion Medica de Puerto Rico最新文献_第10页

UNCOMMON PRESENTATION OF FOLLICULAR THYROID CARCINOMA: WHEN CHRONIC BACK PAIN SHOULD RAISE A FLAG. 罕见的滤泡性甲状腺癌的表现:当慢性背痛时应提高警惕。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01

Milliette Alvarado, Margarita Ramirez, Liurka Lopez, Maria J Marcos-Martinez, Fanor M Saavedra, Juan C Negron-Rivei, Marielba Agosto, Meliza Martinez, Rafael Gonzalez, Myriam Allende-Vigo

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Multiple myeloma with testicular involvement: a case report and review of the literature. 多发性骨髓瘤伴睾丸受累:1例报告及文献复习。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01

Rodrigo Kraft Rovere, Bruno Wensing Raimann, Lauren Menna Marcondes, Eduardo Teston Bondan, Felipe Gioppo, Toledo Nunesb, Giuliano Dos Santos Borges

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Just a flare---the Pandora's box approach. 只是一个照明弹，潘多拉盒子的方法。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01

Maryangely Moreno, Iván Enrique Laboy Ortíz, Felipe A Vélez, Alfredo Sánchez, Adolfo Rodríguez, Miguel Colón, José Hernán Martínez

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Young female with acromegaloid features and pituitary macroadenoma: what is your diagnosis? 年轻女性肢端肥大样特征和垂体大腺瘤:你的诊断是什么?

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01

José Hernán Martínez, Carlos Figueroa-Núñez, Paola Mansilla-Letelier, Coromoto Palermo-Garofalo, Mónica Santiago, Oberto Torres, Rafael Trinidad, Michelle Mangual-García, Alfredo Sánchez, Madelin Gutierrez, María de Lourdes Miranda, Eva González

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Wandering spleen torsion causing acute abdominal pain in a child: case report and review of literature. 患儿游离脾扭转致急性腹痛1例报告及文献复习。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01

Carlos I Llorens Marina, Alex Cedeño, Humberto Lugo-Vicente, Cristel Chapel, Glorimar Rivera, Antonio Diaz

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THE USE OF A FIBULAR STRUT ALLOGRAFT WITH DBM, CANCELLOUS CHIPS AND BMP FOR A 10 CM HUMERAL SHAFT INFECTED NON-UNION: A CASE REPORT. 使用带dbm、松质芯片和BMP的腓骨支撑异体移植物治疗10厘米肱骨感染不愈合1例报告。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01

Pedro J Reyes Martínez, Pablo A Marrero Barrera

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Compliance of guidelines for the diagnosis of mycrocytic anemia at Damas Hospital: pilot study. Damas医院对粒细胞性贫血诊断指南的遵从性:初步研究。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01

Diana Rivera, Miguel Magraner, Rafael Breddy

{"title":"Compliance of guidelines for the diagnosis of mycrocytic anemia at Damas Hospital: pilot study.","authors":"Diana Rivera, Miguel Magraner, Rafael Breddy","doi":"","DOIUrl":"","url":null,"abstract":"Iron deficiency is the most common nutrient deficiency in the world. Serum ferritin measurement is considered the most reliable test for the diagnosis of Iron Deficiency Anemia. At our institution there seems to be non consensus in terms of the diagnostic workup for patients with microcytic anemia or the application of guidelines. The purpose of this investigation was to examine the compliance of guidelines for the diagnosis of microcytic anemia at Damas Hospital performed by admitting physicians when microcytic anemia is encountered; compared to the proposed algorithm by the American Academy of Family Physicians (AAFP). Of the patients included in the study 82% did not underwent ferritin studies, of this 79% did not underwent any other serum laboratories to assess the cause of the anemia. Of the patients who did not underwent any serum laboratories 18 went straight to colonoscopy without further work up. None of the patients who did undergo serum laboratories for anemia was further investigated with colonoscopy. In comparison with AAFP guidelines, none of the patients with microcytic anemia was adequately studied for the cause of disease. None of the guidelines or algorithms proposed establish a difference between what should be done depending on the setting in which a :patient is been studied either inatient or outpatient.","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"106 3","pages":"21-5"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32877220","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}

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[Epidemiologic descriptive study of the clinical characteristics of acute bronchiolitis in patients hospitalized at the pediatric unit of the Manatí Medical Center Hospital]. [Manatí医疗中心医院儿科住院患者急性细支气管炎临床特征的流行病学描述性研究]。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01

Zidnia M Colón Blanco, Christian S Colón Rivera, Migdalis Matos González, Brenda L Pérez Valentín, Renato Rivera Fernández, Isamir Santiago Méndez, Vielka Cintron

{"title":"[Epidemiologic descriptive study of the clinical characteristics of acute bronchiolitis in patients hospitalized at the pediatric unit of the Manatí Medical Center Hospital].","authors":"Zidnia M Colón Blanco, Christian S Colón Rivera, Migdalis Matos González, Brenda L Pérez Valentín, Renato Rivera Fernández, Isamir Santiago Méndez, Vielka Cintron","doi":"","DOIUrl":"","url":null,"abstract":"Acute respiratory infections are the main reason for pediatric visits both to physician's offices and emergency departments. Bronchiolitis is an acute viral respiratory disease that affects about 10% of infants each year and mostly those under age two. The aim of this study was to identify demographic, epidemiological characteristics and risk factors associated with cases of bronchiolitis admitted to the Manati Medical Center (MMC). In addition, we tried to establish the basis for the development of strategies to prevent of hospitalizations and complications in our Institution. A retrospective descriptive study was conducted in the pediatric wing of MMC in Manati, Puerto Rico between January and December 2009. A total of 508 children were included, 58 % of them male. The average age and weight were 12 +/- 5.3 months and 8.1 +/- 1.4 kg, respectively. We observed a higher predisposition among males as well as a statistically significant relationship between breastfeeding and protection from the disease. No relationship was observed between preterm birth and the parents' smoking habit and the development of the disease. However, the latter factor influences the length of hospital stay. The risk of bronchiolitis was seasonal with a peak between October and November. The presence of respiratory syncitial virus was confirmed in 67 % of the cases.","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"106 2","pages":"4-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32537842","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}

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Anemia management among hemodyalisis patients at the University Hospital in Puerto Rico. 波多黎各大学医院血液透析患者的贫血管理。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01

Heana E Ocasio, Hector Diaz, José L Cangiano, Rafael Báez, Erick Suárez

{"title":"Anemia management among hemodyalisis patients at the University Hospital in Puerto Rico.","authors":"Heana E Ocasio, Hector Diaz, José L Cangiano, Rafael Báez, Erick Suárez","doi":"","DOIUrl":"","url":null,"abstract":"End-stage renal disease is frequently complicated with anemia. Iron deficiency anemia occurs in most hemodialysis patients secondary to increased iron demand driven by the accelerated erythropoiesis that occurs when stimulating agents are administered as treatment of the anemia. The purpose of this study was to determine the prevalence of anemia and iron stores in patients undergoing hemodialysis at our unit; identify their treatment and effectiveness. Medical records of fifty-three patients undergoing ambulatory hemodialysis were evaluated for three months. Patient's hemoglobin, ferritin, iron, total iron binding capacity and percent transferrin saturation were recorded. 91% patients had arterial hypertension and 62% were diabetic. The prevalence of anemia was 34%, 57% and 47% during the three-month period respectively. Only 21% of the population had transferrin saturation less than 20% and none had ferritin below 200 ng/ml. Throughout the study, the majority of patients were managed with combination of iron and erythropoietin stimulating agents (ESAs). The prevalence of anemia remained elevated despite treatment with iron and ESAs. However, 56% of anemic patients throughout the three months showed an increase in hemoglobin levels by the end of the observation period. 53% of patients were treated with iron alone or with ESAs for the three consecutive month periods and only two had transferrin saturation less than 20%. In our population, ESAs low responsiveness is not related to iron deficiency but to the morbidity of their disease.","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"106 2","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32537843","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

Osteoporosis knowledge in patients with a first fragility fracture in Puerto Rico. 骨质疏松症知识的患者与第一次脆性骨折在波多黎各。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01

Leyda M Díaz-Correa, Lilliana M Ramírez-García, Leslianne E Castro-Santana, Luis M Vilá

{"title":"Osteoporosis knowledge in patients with a first fragility fracture in Puerto Rico.","authors":"Leyda M Díaz-Correa, Lilliana M Ramírez-García, Leslianne E Castro-Santana, Luis M Vilá","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To determine the level of knowledge about osteoporosis and factors associated with low level of knowledge in patients with a first osteoporotic fracture.Methods: A cross-sectional study in adult patients with a first osteoporotic fracture admitted to the University Hospital of the Puerto Rico Medical Center, San Juan, Puerto Rico was performed. Socio-demographic parameters, clinical features, and pharmacologic treatment were examined. A validated questionnaire was used to assess subjects' level of knowledge about osteoporosis. Differences between study groups were evaluated using chi-square and Student's t tests, as appropriate.Results: A total of 54 patients participated in the study. The mean (SD) age was 73.7 (10.7) years; 77.8% were females. Overall, 61.1% of the participants had a low level of knowledge about osteoporosis. Patients with low level of knowledge were more likely to have the Puerto Rico Government health insurance, lower level of education, and higher hip FRAX scores than those with mid/high level of knowledge. Also, they were less likely to receive osteoporosis counseling by their primary care physicians (PCP), have prior BMD measurement, receive bisphosphonates/raloxifene treatment, and to take calcium and vitamin D supplements.Conclusions: In this population of Hispanic patients with a first osteoporotic fracture, the majority had a low level of knowledge about osteoporosis. Low knowledge was associated with low socio-economic status, lack of counseling about osteoporosis by PCP, prior BMD measurement, and osteoporosis treatment. Better efforts should be undertaken to educate, identify, and manage patients at risk for osteoporotic fractures.","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"106 1","pages":"6-10"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32311639","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