[Adherence factors to the gluten-free diet in people with celiac disease in Paraguay].

Introduction: The adherence to a gluten-free diet in people with celiac disease is a constant challenge for them and their family environment. Not everyone is able to adapt to the new eating style and may develop maladaptive behaviors. The objective was to evaluate the factors of adherence to the gluten-free diet in people with celiac disease in Paraguay in 2023.

Spanish validation of the Stigma of Occupational Stress Scale for Doctors (SOSS-D) and factors associated with physician burnout.

Objectives: The aim of this study was to investigate the psychometric properties of the Spanish version of the Stigma of Occupational Stress Scale for Doctors (SOSS-D) and the factors associated with Physician Burnout in Paraguay.

Methods: Participants included 747 Paraguayan healthcare workers, aged 24-77 years old, of both sexes. SOSS-D was translated into Spanish and validated through an exploratory and confirmatory factor analysis.

Adherence to a gluten-free diet in celiac disease patients from Paraguay.

Introduction And Aim: The treatment for celiac disease is a gluten-free diet that should be strictly and permanently carried out. Our aims were to determine adherence to the gluten-free diet and the risk factors for non-adherence.

Materials And Methods: An observational, cross-sectional, comparative study was conducted.

Prevalence of Wheat/Gluten-Related Disorders and Gluten-Free Diet in Paraguay: An Online Survey-Based Study.

Gluten-related disorders (GRDs) are increasing around the world, but their magnitude and relevance remain unknown in most Latin American countries. Thus, an online survey was conducted to estimate the prevalence of GRDs as well as adherence to a gluten-free diet (GFD) in Paraguayan adult population. There were 1058 individuals surveyed using a validated questionnaire (response rate of 93.

[Silent celiac disease in an obese patient with alopecia areata.].

Introduction: celiac disease is a medical condition that is characterized by its varied forms of clinical presentation and its association with other autoimmune pathologies. The objective is to describe the case of a patient who presented for consultation due to alopecia areata.

Methodology: observational, descriptive, retrospective study of a 24-year-old obese male

Results: among the routine studies positive serology for celiac disease was detected and confirmed with digestive endoscopy.

Silent celiac disease in dermatology.

IntroducciÓn: La enfermedad celíaca puede estar asociada de forma silente a varias enfermedades de la piel y las mucosas.

Objetivo: Determinar la frecuencia de enfermedad celíaca en portadores de urticaria crónica, vitíligo, alopecia areata, psoriasis y estomatitis aftosa, en el Hospital Nacional de Itauguá, Paraguay, en los años 2017 y 2018.

Material Y MÉtodos: Diseño observacional de corte transversal, prospectivo.

[Tetany as a form of presentation of adult celiac disease.].

Introduction: celiac disease is an autoimmune disease with symptoms involving multiple organs. The forms of presentation vary considerably, which makes it difficult to diagnose. The objective is to present an atypical case of celiac disease.

[Inappropriate response against Hepatitis B vaccine in health personnel of the National Hospital, Paraguay.].

Introduction: health personnel are a risk group for acquiring hepatitis B. The vaccine against it is effective but requires evaluation of the immune response with the dosage of anti-HBs.

Objective: Objectives: to determine the immunological response to the vaccine against hepatitis B in physicians, nurses and medical students of the National Hospital, Paraguay.

[Silent Celiac Disease in an obese patient].

We present an obese patient who underwent high digestive endoscopy due to dysphagia after accidental ingestion of chicken bone. There is mild reflux oesophagitis and duodenal atrophy. Intestinal biopsy reports severe villous atrophy with lymphoplasmocytic infiltrate.