Christian R. Mejia , Jhosselyn I. Chacón , Marcela Cavero , Rocío Orihuela , Enrique Orihuela
{"title":"Factores sociolaborales asociados al riesgo cardiovascular según el score de Framingham en trabajadores de Lima, 2015","authors":"Christian R. Mejia , Jhosselyn I. Chacón , Marcela Cavero , Rocío Orihuela , Enrique Orihuela","doi":"10.1016/j.raem.2016.06.004","DOIUrl":"10.1016/j.raem.2016.06.004","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the social-occupational factors associated with cardiovascular risk in a population of workers of healthy private health insurance company in Lima, Peru.</p></div><div><h3>Methods</h3><p>A cross-sectional study of secondary data from the data of workers who were seen in an institution as part of their occupational examinations. The Framingham score was used to determine the risk of having a cardiovascular event at 10<!--> <!-->years. This score was also analysed along with other social and occupational variables were taken and shown in two populations (<<!--> <!-->30<!--> <!-->years or ≥<!--> <!-->30<!--> <!-->years, according to score criteria). Statistical association was determined using generalised linear models.</p></div><div><h3>Results</h3><p>Of the 4,134 workers examined, 71.4% (2,950) were men, and the median age was 35<!--> <!-->years (range 18-73<!--> <!-->years old). More than two-thirds (39%, 1,613) of workers had a low risk to minimum risk. In the multivariate statistics on those <<!--> <!-->30<!--> <!-->years: male gender (adjusted prevalence ratio [aPR]: 7.53; 95%<!--> <!-->CI: 7.01-8.09) and body mass index (aPR: 1.02; 95%<!--> <!-->CI: 1.01-1.04) increased the frequency of cardiovascular risk. For workers ≥<!--> <!-->30<!--> <!-->years: male gender (aPR: 2.78; 95%<!--> <!-->CI: 2.41-3.20), the body mass index (aPR: 1.01; 95%<!--> <!-->CI: 1.001-1.014), the not-single marital status (aPR: 1.14; 95%<!--> <!-->CI: 1.08-1.21) and being an administrative worker (aPR: 1.06; 95%<!--> <!-->CI: 1.01-1.13) increased the frequency of cardiovascular risk.</p></div><div><h3>Conclusions</h3><p>There are some social-occupational factors that influence cardiovascular risk. These results can be used for occupational medicine, proper monitoring, and improving lifestyles in the workers.</p></div>","PeriodicalId":78598,"journal":{"name":"Revista argentina de endocrinologia y metabolismo","volume":"53 3","pages":"Pages 84-89"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.raem.2016.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54996264","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}
{"title":"Prevalencia de enfermedades tiroideas en una población del área metropolitana de Buenos Aires","authors":"Carolina Urciuoli , Erika Abelleira , Maria Celeste Balonga , Graciela Arevalo de Cross , Angelica Schmidt , Monica Sala , Monica Rosales , Patricia Maidana , Viviana Mesch , Fabian Pitoia","doi":"10.1016/j.raem.2016.05.007","DOIUrl":"10.1016/j.raem.2016.05.007","url":null,"abstract":"<div><p>The prevalence of palpable thyroid morphological abnormalities does not exceed 8% in the adult population. A free program was conducted in the Hospital de Clínicas (University of Buenos Aires) for the detection of thyroid diseases, inviting subjects who were unaware of a history of these diseases.</p><p>The aim was to establish the frequency of goitre in the selected population, as well as to evaluate the prevalence of functional disorders and thyroid autoimmunity, and to compare these results with the findings of a similar study performed in 2001<span><sup>1</sup></span>.</p><p>The subjects were divided into three groups: Group 1 (n<!--> <!-->=<!--> <!-->186) patients with a history of previously known thyroid disorders (excluded subjects); Group 2 (n<!--> <!-->=<!--> <!-->184) subjects with a family history of thyroid disease, other autoimmune diseases, or symptoms that could be attributed to changes in thyroid function (Induced Group), and Group 3 (n<!--> <!-->=<!--> <!-->288) subjects who participated in this program due to mere curiosity (Random Group).</p><p>Autoimmunity and thyroid function was assessed in 144 randomly selected participants in Group 3. In Group 3, the prevalence of morphological alterations of the thyroid gland was 11.09%. Comparing these results with those obtained 12 years ago in a similar study performed in our hospital, no statistically significant differences were found when the prevalence of morphological thyroid alterations were compared (8.7% vs 11.09%, p=.25). As for thyroid function, subclinical hypothyroidism was found in 6.25%, subclinical hyperthyroidism in 0.7%, and autoimmunity in 11% of subjects evaluated.</p><p>It was concluded that the prevalence of palpable thyroid abnormalities had not change in the last decade. This study, made in a correctly selected population, is a useful tool for future reference as a control population in Argentina.</p></div>","PeriodicalId":78598,"journal":{"name":"Revista argentina de endocrinologia y metabolismo","volume":"53 2","pages":"Pages 67-72"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.raem.2016.05.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54996190","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}
{"title":"Carcinoma papilar de tiroides localmente invasivo en tráquea. Tratamiento oncológico y posterior traqueoplastia alejada por dehiscencia de anastomosis traqueal","authors":"Santiago Zund , Karina Patané , Inés Califano , Matías Calabretta , Ezequiel Lupo","doi":"10.1016/j.raem.2016.06.001","DOIUrl":"10.1016/j.raem.2016.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The aim of surgery in well-differentiated thyroid cancer with tracheal invasion is to remove all the tumour while preserving functional structures.</p></div><div><h3>Clinical case</h3><p>A 27 year old female presented with a thyroid mass with tracheal invasion on the computed tomography. She underwent total thyroidectomy, bilateral central compartment and selective <span>ii-v</span> neck dissection, and tracheal resection with end-to-end anastomosis. She subsequently had anastomotic dehiscence, which required a tracheostomy. Tracheoplasty was later performed with good functional results.</p></div><div><h3>Discussion</h3><p>Segmentary tracheal resection is the procedure of choice in differentiated thyroid cancer with local invasion and with no distant disease. Tracheoplasty, performed in high-volume centres, leads to a satisfying functional outcome.</p></div>","PeriodicalId":78598,"journal":{"name":"Revista argentina de endocrinologia y metabolismo","volume":"53 2","pages":"Pages 73-76"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.raem.2016.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54996232","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}
Reynaldo M. Gómez , Raul Chervín , Ester M. Pardes , Susana Lupi , María Elena Surraco , Jorge Herrera , León Schurman , Claudio Gonzáles
{"title":"Evaluación diagnóstica y terapéutica del incidentaloma suprarrenal","authors":"Reynaldo M. Gómez , Raul Chervín , Ester M. Pardes , Susana Lupi , María Elena Surraco , Jorge Herrera , León Schurman , Claudio Gonzáles","doi":"10.1016/j.raem.2015.12.001","DOIUrl":"10.1016/j.raem.2015.12.001","url":null,"abstract":"","PeriodicalId":78598,"journal":{"name":"Revista argentina de endocrinologia y metabolismo","volume":"53 2","pages":"Pages 51-58"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.raem.2015.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54996088","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}
Maritza Torres-Valdez , Rina Ortiz-Benavides , Wilson Sigüenza-Cruz , Ana Ortiz-Benavides , Roberto Añez , Juan Salazar , Joselyn Rojas , Valmore Bermúdez
{"title":"Punto de corte de circunferencia abdominal para el agrupamiento de factores de riesgo metabólico: una propuesta para la población adulta de Cuenca, Ecuador","authors":"Maritza Torres-Valdez , Rina Ortiz-Benavides , Wilson Sigüenza-Cruz , Ana Ortiz-Benavides , Roberto Añez , Juan Salazar , Joselyn Rojas , Valmore Bermúdez","doi":"10.1016/j.raem.2016.05.009","DOIUrl":"10.1016/j.raem.2016.05.009","url":null,"abstract":"<div><h3>Background and objective</h3><p>Few studies have been conducted on waist circumference in Ecuador. This research aims to determine the cut-off points of waist circumference in an adult population from Cuenca City, Ecuador.</p></div><div><h3>Methodology</h3><p>A cross-sectional, descriptive study, with a multistage random sampling was carried out on 318 adults of both sexes. Participants underwent a medical examination, with anthropometric and laboratory measurements. ROC curves were plotted to determine the waist circumference cut-offs for multiple risk factor aggregation. The IDF/NHLBI/AHA/WHF/IAS/IASO 2009, ATP-III and ALAD criteria were used to define metabolic syndrome.</p></div><div><h3>Results</h3><p>Of the 318 subjects, 57.2% were women. The presence of multiple risk factor aggregation was found in 54.1% (n<!--> <!-->=<!--> <!-->172). ROC curves showed waist circumference cut-offs of 91.5<!--> <!-->cm for females (sensitivity: 66.7%; specificity: 62.7%) and 95.5<!--> <!-->cm for males (sensitivity: 71.2%, specificity 68.3%). Using these cut-offs the prevalence of abdominal obesity was 53.3% for women, and 52.9% for men.</p></div><div><h3>Conclusions</h3><p>The cut-offs for waist circumference differ from those proposed for the Latin American population. A waist circumference cut-off of 91<!--> <!-->cm for women and 95<!--> <!-->cm for men from Cuenca city is suggested. It is necessary to unify efforts among the various research groups in the region to establish common values for Latin America based on the different reports to date.</p></div>","PeriodicalId":78598,"journal":{"name":"Revista argentina de endocrinologia y metabolismo","volume":"53 2","pages":"Pages 59-66"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.raem.2016.05.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54996209","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}
{"title":"Joaquín Argonz (1898-1971)","authors":"Ariel Sánchez , Sebastián Alonso","doi":"10.1016/j.raem.2016.05.010","DOIUrl":"10.1016/j.raem.2016.05.010","url":null,"abstract":"","PeriodicalId":78598,"journal":{"name":"Revista argentina de endocrinologia y metabolismo","volume":"53 2","pages":"Pages 43-44"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.raem.2016.05.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54996220","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}
{"title":"Bernardo A. Houssay (1887-1971)","authors":"Eduardo H. Charreau","doi":"10.1016/j.raem.2016.05.001","DOIUrl":"10.1016/j.raem.2016.05.001","url":null,"abstract":"","PeriodicalId":78598,"journal":{"name":"Revista argentina de endocrinologia y metabolismo","volume":"53 1","pages":"Pages 1-4"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.raem.2016.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54996106","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}
Christian R. Mejia , Dante M. Quiñones-Laveriano , Claudia C. Cruzalegui-Solari , Isaias Arriola-Quiroz , Luís Perez-Perez , Raul Gomero
{"title":"Edad como factor de riesgo para desarrollar síndrome metabólico en trabajadores mineros a gran altura","authors":"Christian R. Mejia , Dante M. Quiñones-Laveriano , Claudia C. Cruzalegui-Solari , Isaias Arriola-Quiroz , Luís Perez-Perez , Raul Gomero","doi":"10.1016/j.raem.2016.05.002","DOIUrl":"10.1016/j.raem.2016.05.002","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the risk of getting metabolic syndrome (MS) according to years old and others associated factors in workers mining of the Peruvian highlands.</p></div><div><h3>Methodology</h3><p>Longitudinal study of data collected between 2007-2010 in a mining camp workers. It was considered that workers had MS if they met the criteria of the International Diabetes Federation (≥94<!--> <!-->cm waist circumference in men or women ≥80<!--> <!-->cm more ≥2 altered parameters: blood glucose, blood pressure, HDL cholesterol or triglycerides). Adjusted relative risk with the PA-GEE regression were obtained to determine the risk of acquiring the SM over the time (depending on the year of occupational medical examination).</p></div><div><h3>Results</h3><p>Of the 1198 measurements workers, 93% (1109) were men, the median age was 33 years. 36% (428) had a parameter altered waist, and 100% of them had between 2 or more additional parameters altered for the diagnosis of metabolic syndrome. When performing multivariate statistics, adjusted for the time value of body mass index was found that for each year of age increased workers increased by 2% (95%CI: 1-4%) the risk of MS.</p></div><div><h3>Discussion</h3><p>workers evaluated age was a risk factor for MS, this parameter and other relevant should be monitored by companies to generate policies for healthy lifestyle, to prevent chronic disease problems with potential implications workers, the company and society.</p></div>","PeriodicalId":78598,"journal":{"name":"Revista argentina de endocrinologia y metabolismo","volume":"53 1","pages":"Pages 29-35"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.raem.2016.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54996117","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}