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Boletin de la Asociacion Medica de Puerto Rico最新文献

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Interventional nephrology in Puerto Rico: a four year experience. 波多黎各介入肾脏病学:四年经验。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-01-01
Rafael Baez, Jose Betancourt, Hector J Diaz, Javier Monserrate, Tania Ramírez, Martin Gorrochategui, Carlos Rivera Bermudez, Francisco Torre Leon, Jose L Cangianoa
{"title":"Interventional nephrology in Puerto Rico: a four year experience.","authors":"Rafael Baez,&nbsp;Jose Betancourt,&nbsp;Hector J Diaz,&nbsp;Javier Monserrate,&nbsp;Tania Ramírez,&nbsp;Martin Gorrochategui,&nbsp;Carlos Rivera Bermudez,&nbsp;Francisco Torre Leon,&nbsp;Jose L Cangianoa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Puerto Rico is one of the most prevalent areas covered by Medicare in need of renal replacement therapy for which interventional procedures are performed. A cumulative analysis of this management is reported in patients during the period between June 2007 and August 2010. Experience accumulated with 3755 surgical patients revealed that 58% had intravascular catheters, 28% had arteriovenous fistulas, 15% had arteriovenous grafts, and 2% without vascular access. Procedures performed in these patients were: catheter introduction in 1990 cases (33%), angioplasty in 751 cases (20%), angiography in 450 cases (12%), thrombectomy in 413 cases (11%) and venous mapping in 151 cases (4%). The success rates of these procedures were evaluated by analysis of the Society of Interventional Radiology (SIR) criteria for Lifeline Vascular Access. Using SIR definition of success rate for at least one session that includes \"declots\", placement of catheters and angioplasty, our results revealed an average of 98.2% overall success rate greater than the standard value KDOQI/SIR (> 85% ). This study has documented for four years the success rate of Vascular Interventional Nephrology Center at Auxilio Mutuo Hospital. In order to maintain this success rate is necessary to further evaluate its effectiveness and, most importantly, the development of an educational program for vascular access in patients with chronic kidney disease prior to placement in dialysis units.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 1","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33356203","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
President's message. 总统的消息。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-01-01
Wanda G Vélez Andújar
{"title":"President's message.","authors":"Wanda G Vélez Andújar","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33356201","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
Intravenous ascorbic acid and hydrogen peroxide in the management of patients with chikungunya. 静脉注射抗坏血酸和过氧化氢治疗基孔肯雅热患者。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-01-01
Victor Marcial-Vega, Gonzalez Idxian Gonzalez-Terron, Thomas Edward Levy
{"title":"Intravenous ascorbic acid and hydrogen peroxide in the management of patients with chikungunya.","authors":"Victor Marcial-Vega,&nbsp;Gonzalez Idxian Gonzalez-Terron,&nbsp;Thomas Edward Levy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chikungunya is a viral illness characterized by severe joint pains, which may persist for months to years. There is no effective treatment for this disease. We treated 56 patients with moderate to severe persistent pains with a single infusion of ascorbic acid ranging from 25-50 grams and hydrogen peroxide (3 cc of a 3% solution) from July to October 2014. Patients were asked about their pain using the Verbal Numerical Rating Scale-11 immediately before and after treatment. The mean Pain Score before and after treatment was 8 and 2 respectively (60%) (p < 0.001); and 5 patients (9%) had a Pain Score of 0. The use of intravenous ascorbic acid and hydrogen peroxide resulted in a statistically significant reduction of pain in patients with moderate to severe pain from the Chikungunya virus immediately after treatment.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"107 1","pages":"20-4"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33356204","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
Rejection, Recurrence, or Something Else? 拒绝，复发，还是其他原因?
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-10-01 DOI: 10.14309/00000434-201410002-01304
Felipe Vélez-González, Veroushka Ballester, I. Antúnez, Rafael Pastranal, E. Torres, C. González-Keelan
{"title":"Rejection, Recurrence, or Something Else?","authors":"Felipe Vélez-González, Veroushka Ballester, I. Antúnez, Rafael Pastranal, E. Torres, C. González-Keelan","doi":"10.14309/00000434-201410002-01304","DOIUrl":"https://doi.org/10.14309/00000434-201410002-01304","url":null,"abstract":"Since the introduction of liver transplant as treatment for end-stage liver disease,\u0000thousands of lives have been saved. To prevent organ rejection, immunosuppression\u0000is given chronically and hence, patients are at increased risk for\u0000opportunistic infections related to immunosuppression, especially within the\u0000first year after the transplant. However, opportunistic infections can occur years\u0000after the transplantation. Disseminated nocardiosis is one of these infections,\u0000and although the common presentation includes involvement of skin, lungs, and\u0000central nervous system. We present an uncommon presentation of nocardiosis\u0000in which cholestasis and elevated liver enzymes predominate, mimicking organ\u0000rejection and liver disease recurrence. Infectious etiologies, including opportunistic\u0000microorganisms, must always be ruled out in patients presenting elevation\u0000in liver enzymes and cholestasis after liver transplant as early diagnosis can prevent\u0000complications such as re-transplantation and even death.","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"108 2 1","pages":"39-41"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67058275","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
Chronic eosinophilic leukemia: a rare cause of hypereosinophilic syndrome. 慢性嗜酸性粒细胞白血病:嗜酸性粒细胞增多综合征的罕见病因。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01
Cristina Ortiz, Madeline Jimenez, Nelson A Matos
{"title":"Chronic eosinophilic leukemia: a rare cause of hypereosinophilic syndrome.","authors":"Cristina Ortiz,&nbsp;Madeline Jimenez,&nbsp;Nelson A Matos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hypereosinophilic syndromes are a wide group of entities. We present a 24-year-old-male with left lower quadrant abdominal pain, elevated eosinophil counts and splenomegaly. Molecular analysis was positive for FIP1LI -PDGFRA gene compatible with chronic eosinophilic leukemia. He was managed with Imatinib producing resolution of the disease.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"106 2","pages":"33-6"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32537734","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
Smoking tobacco use among operating room personnel. 手术室工作人员的吸烟情况。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01
Javier Gonzélez-Castro, Jeamarie Pascual, Luisam Tarrats, Carlos González-Aquino
{"title":"Smoking tobacco use among operating room personnel.","authors":"Javier Gonzélez-Castro,&nbsp;Jeamarie Pascual,&nbsp;Luisam Tarrats,&nbsp;Carlos González-Aquino","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the prevalence of smoking operating room personnel and compare this with that of the general public. Given the first hand exposure of these individuals to patients with smoking related illnesses, we believe they should have a decreased tendency to smoke.</p><p><strong>Methods: </strong>A survey instrument was given to operating room personnel in order to learn the prevalence of smoking and other tobacco use related data. Prevalence for the general population and other healthcare related populations was investigated using various search engines and compared with our results.</p><p><strong>Results: </strong>A total of 113 individuals completed the survey, 6% were found to be current smokers and 15% were found to be past smokers. Data from the Center for Disease Control shows that the prevalence of cigarette smoking among United States adults is 19%, which is significantly higher than what we found in our population (<0.01). In Puerto Rico, the prevalence of smoking is 11%, which is also higher than our study population (p=0.05). Among current smokers, 86% have tried to quit at least once (p=0.02), and all claimed to have knowledge of the possible complications associated with smoking.</p><p><strong>Conclusions: </strong>Smoking tobacco remains the number one cause of preventable death in the United States despite many efforts to educate the general public on the dangers associated with its use. a more visual or hand's on encounter with the effects of smoking may help decrease tobacco burden in the general population.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"106 3","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32877219","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
Use and medicalization of marihuana in cancer patients. 大麻在癌症患者中的使用和医学化。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01
Elsa Pedro, Fránces M Rodríguez
{"title":"Use and medicalization of marihuana in cancer patients.","authors":"Elsa Pedro,&nbsp;Fránces M Rodríguez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anecdotal reports and some clinical studies suggest that marihuana (Cannabis sativa) is effective in treating a variety of conditions such as glaucoma, migraine, pain, spasticity of multiple sclerosis, anorexia, insomnia, depression, nausea and vomiting. One of the diseases mostly associated to a beneficial effect from marihuana is cancer. Twenty-one states of the United States including the District of Columbia have approved the use of marihuana for cancer and other medical conditions. In Puerto Rico, public debate on criminal penalty removal and medicalization of marihuana has intensified. It is considered essential for health professionals to have strong scientific evidence on the effectiveness and safety of medications or substances when recommending them for treating illness. This article discusses scientific evidence and information provided by prestigious organizations on the effectiveness and safety of marihuana and its derivatives in cancer patients.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"106 3","pages":"55-9"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32878215","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
[Message from the President]. [总统寄语]。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01 DOI: 10.1159/000262577
Wanda G Vélez Andújar
{"title":"[Message from the President].","authors":"Wanda G Vélez Andújar","doi":"10.1159/000262577","DOIUrl":"https://doi.org/10.1159/000262577","url":null,"abstract":"Choosing Azusa Pacific University to further your academic and professional goals means encounters with world-class faculty as interested in deepening your faith and supporting your individual growth as they are in challenging your scholarship and expanding your skills. An APU education means forming connections with peers, whether online or in residence, whose narratives add richness to the classroom and reflect the vibrancy of our seven Southern California-based locations. An APU degree means challenging and relevant coursework that produces transformation—personal and intellectual. Our community of disciples and scholars form the heartbeat of a warm and caring environment.","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"106 3 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000262577","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64879716","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
A VERY RARE NEOPLASM IN AN IMMUNOCOMPETENT PATIENT. 在免疫功能正常的患者中是一种非常罕见的肿瘤。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01
Emmanuel O González-Irizarry, Luis A Figueroa-Jiménez, Javier Ramos Rossy, Rodolfo Estremera, Javier Monserrate, Amy Lee González-Márquez, Luis Negron-García, Mónica Santiago-Casiano, William Cáceres-Perkins
{"title":"A VERY RARE NEOPLASM IN AN IMMUNOCOMPETENT PATIENT.","authors":"Emmanuel O González-Irizarry, Luis A Figueroa-Jiménez, Javier Ramos Rossy, Rodolfo Estremera, Javier Monserrate, Amy Lee González-Márquez, Luis Negron-García, Mónica Santiago-Casiano, William Cáceres-Perkins","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Kaposi's sarcoma is a rare malignancy requiring infection with human Herpes virus for development. We report a case of a 76-year-old immunocompetent male with recurrent leg cellulitis. The cellulitis eventually developed into a non-healing ulcer and a palpable nodule consistent with nodular Kaposi's sarcoma.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"106 4","pages":"43-5"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5386782/pdf/nihms844697.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34265261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
GRANULOMATOSIS WITH POLYANGIITIS IN PUERTO RICO: CASE REPORTS. 波多黎各肉芽肿病伴多血管炎:病例报告。
Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2014-01-01
Luis Aranguren, Natalio J Izquierdo, Armando Oliver
{"title":"GRANULOMATOSIS WITH POLYANGIITIS IN PUERTO RICO: CASE REPORTS.","authors":"Luis Aranguren,&nbsp;Natalio J Izquierdo,&nbsp;Armando Oliver","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Wegener's Granulomatosis or Granulomatosis with Polyangiitis (WG/GPA) is one of the antineutrophil cytoplasmic antibody associated vasculitis. Ocular manifestations the first presenting signs in patients with WG/GPA. We report on two patients diagnosed with WG/GPA and discuss their pertinent clinical findings. Our case report reviews the most common clinical manifestations and ophthalmic associations to compare them with the physical findings of two Hispanic patients. Further, to our knowledge this is the first report of ocular findings in patients with WG/GPA in two Puerto Rican patients.</p>","PeriodicalId":75610,"journal":{"name":"Boletin de la Asociacion Medica de Puerto Rico","volume":"106 4","pages":"31-4"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34265258","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
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