Rev Peru Med Exp Salud Publica
December 2022
Objectives.: To estimate the burden of disease of COVID-19 in the department of Nariño, Colombia, based on the disability-adjusted life years (DALYs) between March 2020 and August 2021.
Materials And Methods.
Background: In a society, children are the most vulnerable members of the population. Violence experienced in Mexico during the last decade has also affected children under ten years of age.
Objective: Analyze the trend of homicides in children under ten years from 1998 to 2017.
Stage IV hidradenitis suppurativa in the axilla is a chronic disease in which the removal of the affected area and a reconstruction with disease free skin is the definitive treatment; however there is some controversy about the technique to be used in this reconstruction. Studies show superiority in wide resections, and coverage with flaps rather than grafts. The use of pedicle flaps of lateral thoracic artery perforators and thoracodorsal artery perforators has demonstrated superior performance to other techniques in postsurgical follow-up.
View Article and Find Full Text PDFA 9-point risk assessment identified persons with a history of injection drug use who were safe for discharge. "Low-risk" patients were discharged with outpatient antibiotics; others continued inpatient treatment. Use of the assessment reduced the mean length of stay by 20 days and total direct cost by 33%, creating capacity for an additional 333 patients.
View Article and Find Full Text PDFBol Asoc Med P R
December 2017
Dengue is an endemic disease in Puerto Rico, with three to nine thousand suspected dengue cases reported yearly. In PR, physicians are required to maintain medical education courses about dengue in order to recertify their medical licenses. The purpose of this study was to describe characteristics of patients admitted to Bella Vista Hospital with suspected dengue and estimate the compliance with guidelines established by the CDC documented in medical records.
View Article and Find Full Text PDFObjective: To analyze the behavior temporal of road-traffic injuries (RTI) in Valledupar, Colombia from January 2008 to December 2012.
Methodology: An observational study was conducted based on records from the Colombian National Legal Medicine and Forensic Sciences Institute regional office in Valledupar. Different variables were analyzed, such as the injured person's sex, age, education level, and type of road user; the timeframe, place and circumstances of crashes and the vehicles associated with the occurrence.
Objective: To describe the process for implementing an intervention to prevent pedestrian injuries in Cuernavaca, Mexico, using a multidisciplinary and evidence-based approach.
Methodology: This study included two phases with several stages. The first was an overall assessment of pedestrian mortality in Cuernavaca that included a comparison of pedestrian mortality between Cuernavaca and the rest of Morelos State (1998-2007), an analysis and geocoding of pedestrian injuries (2008-2009), and a description of techniques for selecting and analysing clustered events using road audits.
Non-invasive assays are increasingly being used in patients with suspected fungal infections. Limitations to these tests include limited sensitivity, specificity, and cross reactivity with other fungal pathogens. Herein we report a case of disseminated histoplasmosis producing a false positive serum and bronchoalveolar lavage (BAL) Aspergillus galactomannan assays.
View Article and Find Full Text PDFThe history of risk factor epidemiology is detailed as it emerged in Colombia as well as more recent developments. The origins of risk factor epidemiology are described in the context of the national health situation of the mid-20th century, when changes were occurring in the profiles of infectious and nutritional diseases in comparison to chronic diseases and traumatisms. The main achievements in the history of national risk factor epidemiology are described, including: the studies on endemic goiter, gastric and uterine cervical cancers, adverse effects of child undernourishment, and the institution of local health surveys.
View Article and Find Full Text PDFObjective: To assess the safety of botulinum toxin type A for children with cerebral palsy using data from randomized clinical trials.
Data Sources: A search was conducted of MEDLINE database for the period January 1990 to February 2008. A complementary search was carried out of references from previous reviews.
Clin Ther
April 2007
Background: Analgesics are an essential component of the treatment of cancer-associated pain. Pharmacologic treatment is usually begun with nonopioid analgesics, most frequently acetaminophen. If pain relief is not achieved, the so-called "weak" opioids, such as codeine and hydrocodone, may be used in combination with acetaminophen.
View Article and Find Full Text PDFObjective: Evaluating the "It's better if we talk" communication strategy for preventing violence and promoting pacific coexistence in Cali, Colombia.
Materials And Methods: The strategy was developed through two intervention components in Cali between August 1996 and September 1998: the population (using the mass media) and the community (using Commune 13 and 20's local media). Post-intervention measurement was made in 2000 to determine the strategy's impact and compared to PAHO's 1996 ACTIVA base-line study carried out in eight Latin-American cities (including Cali) and Spain.