Boletin de la Asociacion Medica de Puerto Rico最新文献_第5页

Isolated Rectus Femoris Muscle Tear in a Non-Athletic Patient: A Case Report. 非运动患者孤立性股直肌撕裂1例。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2016-01-01

Emanuel Rivera Rosado, Antonio Soler Salas

引用次数: 0

Psoriasis and Coronary Artery Disease in Hispanics. 西班牙人的牛皮癣和冠状动脉疾病。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2016-01-01

Juan Nieves-Rivera, Crystal Sulia, Rosbel Gonzalez, Luz Figueroa, Héctor Banchs, Pablo Altieri, Wilma González

{"title":"Psoriasis and Coronary Artery Disease in Hispanics.","authors":"Juan Nieves-Rivera, Crystal Sulia, Rosbel Gonzalez, Luz Figueroa, Héctor Banchs, Pablo Altieri, Wilma González","doi":"","DOIUrl":"","url":null,"abstract":"Psoriasis is an immune disorder characterized by chronic activation of systemic\u0000inflammation. Morbidity and mortality in patients with psoriasis is attributed\u0000mainly to cardiovascular disease. There are studies in Caucasians and African-\u0000Americans, but little is known about how psoriasis is associated to coronary\u0000artery disease (CAD) in Hispanics. We intend to describe the angiographic findings\u0000of a group of Puerto Rican patients with psoriasis. Retrospective cohort study\u0000of 46 patients with psoriasis were studied. Coronary angiographic reports were\u0000reviewed, and collected data was statistically analized. Population median age\u0000was 56, and 72% were males. Of the 46 patients, 27 had CAD by angiographic\u0000criteria (58.7%). Twelve patients were referred to bypass graft surgery, 8 underwent\u0000coronary stent placement, and 7 were treated medically. Whether psoriasis\u0000can be considered a risk factor for developing CAD is still on debate. More\u0000than 50% of our patients with psoriasis had angiographic evidence of CAD. Adjusting\u0000for traditional cardiovascular risk factors, we found no significant association\u0000(p>0.05) with CAD. We believe that inflammation plays a contributing role\u0000in the increased risk of CAD in these patients. The importance of this study relies\u0000on being the first retrospective analysis in a group of Hispanics trying to determine\u0000an association between coronary artery disease and psoriasis when in Puerto\u0000Rico, coronary artery disease is 30% less than in the United States.","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"108 2","pages":"65-7"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35582691","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

Uncommon cause of dysphagia, shortness of breath and hoarseness: Large subclavian arterypseudoaneurysm. 吞咽困难、呼吸急促和声音嘶哑的罕见原因:大锁骨下动脉假性动脉瘤。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2016-01-01

Luis A Figueroa-Jiménez, Hilton Alemar, Damyr Aponte, Xavier Colon, Ali Riza Cruz, Marlene Farinacci, Hernán González, Omar F Méndez, Pablo E Puello, Carlos A Rivera, Tania A Torres, Milagros Yunes, Reinaldo Fornaris, Miguel Colon, José Martínez

引用次数: 0

Diabetes Treatment Satisfaction Questionnaire (DTSQ) of in non-ambulatory type 2 diabetic patients. 非门诊2型糖尿病患者糖尿病治疗满意度问卷(DTSQ)。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2016-01-01

Fernando Baccaro, Paola Novelli Poisson, Julieta Arduin, Veronica Hilliar

{"title":"Diabetes Treatment Satisfaction Questionnaire (DTSQ) of in non-ambulatory type 2 diabetic patients.","authors":"Fernando Baccaro, Paola Novelli Poisson, Julieta Arduin, Veronica Hilliar","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: The aim of this work is to determine the diabetes treatment satisfaction\u0000in a group of hospitalized patients with type 2 diabetes.Methods: observational cross research. Patients over the age of 18\u0000with diagnosed type 2 diabetes of at least one year until the present study\u0000were included. Those presenting pathologies attributed to diabetes were\u0000excluded. Patients should have responded to the DTSQ questionnaire\u0000upon admission. r Pearson regression, multivariate linear regression\u0000and U Mann-Whitney tests were analyzed.Results: A total of 102 patients were included with an average age of 63.1\u0000years. Average value of the DTSQs was 14.5.\u0000A significant statistic correlation was observed between the score of the\u0000questionnaires and good diabetes control showed by the levels of HbAc1\u0000and fasting blood glucose, among other parameters. Indeed there was\u0000no correlation between satisfaction and age and BMI. Women had lower\u0000satisfaction score than men.Conclusions: levels of diabetes treatment satisfaction in the study population\u0000correlated well with diabetic status. That is, the lower diabetic\u0000compromise, the better satisfaction score. The degree of satisfaction in\u0000patients with type 2 diabetes was lower than the observed on patients with\u0000the same pathology but from primary levels of health care.","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"108 1","pages":"57-62"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35211922","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

Cervical cancer screening in Brazil according to economic income. 巴西根据经济收入进行宫颈癌筛查。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2016-01-01

Rodrigo Kraft Rovere, Adma Silva de Lima, Sara Fernanda Hilgert, Danielle Louise Cidral

引用次数: 0

The Perils of Diagnosing and Treating Overlap Syndrome. 诊断和治疗重叠综合征的危险。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2016-01-01

Walisbeth Class-Vázquez, Suleyka Olivero-Rivera, Sheryl Rosa-Cruz, Carlos Laboy-Olivieri, Doris H Toro

引用次数: 0

Pleural Effusion In A Patient With Primary Sjögren's Syndrome Successfully Treated With Corticosteroids. 用皮质类固醇成功治疗原发性斯约格伦综合征患者的胸腔积液

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-07-01

Franchesca del Pilar Cruz-Pérez, Armando Doval-Cortés, Francisco Jaume-Anselmi, José Ramírez-Rivera

引用次数: 0

Metabolic Correction as a tool to improve diabetes type 2 management. 代谢纠正作为改善2型糖尿病管理的工具。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-04-01

Jorge R Miranda-Massari, Michael J Gonzalez, Alvarez-Soto Fernando, Carlos Cidre, Iván M Paz, Jorge Charvel, Viridiana Martínez, Jorge Duconge, Aileen Aponte, Carlos M Ricart

{"title":"Metabolic Correction as a tool to improve diabetes type 2 management.","authors":"Jorge R Miranda-Massari, Michael J Gonzalez, Alvarez-Soto Fernando, Carlos Cidre, Iván M Paz, Jorge Charvel, Viridiana Martínez, Jorge Duconge, Aileen Aponte, Carlos M Ricart","doi":"","DOIUrl":"","url":null,"abstract":"Diabetes Mellitus type 2 (DM2) is a metabolic disease that develops by a decrease in sensitivity of insulin receptors as an effect of the disruption certain metabolic functions in the processing of glucose. DM2 patients have, uncontrolled glucose levels, and commonly have problems with obesity and cardiovascular disease. Patients are treated with standard diet, insulin, diabetic oral agents and antihypertensive drugs, but this approach does not completely stops tissue deterioration since it does not address the metabolic root of the disease. Metabolic correction is proposed as a suitable adjunct treatment to improve clinical outcomes. Metabolic correction is based on diet modification, proper hydration and scientific supplementation directed to improve cellular biochemistry and metabolic efficiency. In addition, other possible benefits may include reduction in medication use, disease complications and medical costs. To test the results of a metabolic correction program, 25 patients with DM2 participated in an education program about adequate food consumption that promoted control of blood glucose levels. Anthropometric measurements and blood tests were performed during a 13 week program based on a low carbohydrate diet, proper hydration and magnesium supplementation. The metabolic correction program implemented by a proprietary educational system resulted in significant reductions in glucose, triglycerides, cholesterol, weight and waist circumference. Improvements in these values could represent an important reduction of coronary heart disease risk factors as well as other chronic degenerative diseases. In addition there was medication dosage reduction in one or more medications in 21 of the 25 participating patients, which suggest that the program has the potential to improve health outcomes and reduce health care costs.","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 2","pages":"54-9"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34059521","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

Functional Brain Imaging in Cornelia de Lange Syndrome: Case Report and Literature review. Cornelia de Lange综合征的脑功能成像:病例报告和文献复习。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-04-01

Frieda Silva-Hernández, Gloria I Rodríguez-Cuadrado, Ralph J Martin-Ruaigip, Lourdes Barreras-Ávila, Brenda González-Chevere, Roberto Valentin-Rivera, Eduardo Labat-Alvarez

{"title":"Functional Brain Imaging in Cornelia de Lange Syndrome: Case Report and Literature review.","authors":"Frieda Silva-Hernández, Gloria I Rodríguez-Cuadrado, Ralph J Martin-Ruaigip, Lourdes Barreras-Ávila, Brenda González-Chevere, Roberto Valentin-Rivera, Eduardo Labat-Alvarez","doi":"","DOIUrl":"","url":null,"abstract":"Functional brain imaging with brain single photon emission computer tomography (Brain SPECT) has been used for many years in the evaluation of multiple neuro-degenerative and neuro-developmental disorders. Brain SPECT is a nuclear medicine tomographic study performed with a lipophilic radiopharmaceutical labeled with 99mTc-pertechnetate. It is a cerebral perfusion agent that depicts the global and regional perfusion patterns in the cortical gray matter and subcortical structures. Cornelia de Lange syndrome (CdLS) is a rare neuro-developmental and genetic condition, associated to several malformations. There are a limited number of cases reported in the medical literature and few of them report neuro-radiological and/or neuro-pathologic abnormalities. We report a case of a 15 year old patient, clinically diagnosed at birth with CdLS, who presents limited anatomical findings on Computed Tomography and Magnetic Resonance Imaging. To the best of our knowledge, this is the first report of the Brain SPECT findings in this syndrome.","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 2","pages":"73-7"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34059525","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

Does Injection Site Matter? A Randomized Controlled Trial to Evaluate Different Entry Site Efficacy of Knee Intra-articular Injections. 注射部位重要吗?一项评估膝关节关节内注射不同入药部位疗效的随机对照试验。

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-04-01

Ariel Dávila-Parrilla, Borja Santaella-Santé, Antonio Otero-López

{"title":"Does Injection Site Matter? A Randomized Controlled Trial to Evaluate Different Entry Site Efficacy of Knee Intra-articular Injections.","authors":"Ariel Dávila-Parrilla, Borja Santaella-Santé, Antonio Otero-López","doi":"","DOIUrl":"","url":null,"abstract":"Background: Complaints of knee pain secondary to early osteoarthritis may account for up to 30% of visits to primary care physicians. Due to the proposed inflammatory changes in early osteoarthritis, intra-articular injections of corticosteroids (IACS) have been considered as an option for disease progression modification, pain control, and improvement of function. However, some studies have suggested poor accuracy rates of IA injections depending on the entry site chosen. It is therefore the aim of this study to evaluate the efficacy of IA knee corticosteroid injection in reducing pain and improving function in patients with early osteoarthritis and whether the low accuracy rates reported with the Anterolateral joint line injection site translate to worse functional and pain outcome measures as compared to Suprapatellar lateral injections.Materials and methods: The study was carried out as an open-label, randomized controlled trial with 60 sequential patients recruited. Simple randomization separated groups into anterolateral joint line or suprapatellar lateral injection sites. Improvements were measured with WOMAC and VAS scores after injection of Lidocaine and steroid solution.Results: Patients receiving IACS injections had a measurable improvement in self-reported outcomes as evidenced by standard deviation change in WOMAC and VAS scores. The majority of patients had a clinically significant improvement in VAS scores as compared to their initial measures with a notable amount of patients improving significantly as well on their WOMAC scores, irrespective of the injection site chosen.Conclusions: We have therefore continued the use of palpation-guided intra-articular knee injections in an effort to reduce costs as compared to other injection modalities with positive results in our osteoarthritis patients.","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 2","pages":"78-81"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34059526","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