Asunto(s)
Fibrinógeno/análisis , Infecciones por VIH/sangre , Biomarcadores/sangre , Femenino , Humanos , Recuento de Leucocitos , MasculinoRESUMEN
OBJECTIVE: To find the preference of interns working in our area for different anti-hypertension drugs. DESIGN: Crossover study. SETTING: A tertiary hospital in Zaragoza's Health Area III. PARTICIPANTS: 60 interns selected by stratified random sampling. INTERVENTIONS: A written questionnaire administered individually during the second term of 1991. RESULTS: The anti-hypertension drugs favored by the interns for elderly people were: the IECA group (21 interns, 35%; CI: 24-47%), the ACa (21 interns, 35%; CI: 24-47%) and diuretics (17 interns, 28%; CI: 18-40%). In pregnancy, hydrallazine (25 interns, 41%; CI: 30-54%) and alphamethyldopa (9 interns, 15%; IC: 8-26%) were favored; for diabetics, the IECA (25 interns, 58%; IC: 45-70%); for hyperlipaemics, the IECA (24 interns, 40%; IC: 28-52%) and the ACa (18 interns, 30%; CI: 19-42%); for patients with LCFA, the IECA (21 interns, 35%; CI: 24-47%); and for those with ischaemic cardiopathy, the ACa (31 interns, 51%; CI: 39-64%). CONCLUSIONS: Interns use anti-hypertension drugs in line with what is described in the literature. With the exceptions of AHT associated with pregnancy and ischaemic cardiopathy, they follow the recommendations of the Accord for the Control of AHT in Spain.
Asunto(s)
Antihipertensivos/uso terapéutico , Internado y Residencia/estadística & datos numéricos , Adulto , Distribución de Chi-Cuadrado , Intervalos de Confianza , Estudios Transversales , Utilización de Medicamentos/estadística & datos numéricos , Utilización de Medicamentos/tendencias , Femenino , Humanos , Hipertensión/tratamiento farmacológico , Masculino , Distribución Aleatoria , EspañaRESUMEN
OBJECTIVE: To find the attitude of Residential Interns (RI) to the diagnosis and initiation of treatment for Arterial Hypertension (AH). DESIGN: Crossover study. SETTING: Tertiary hospital in Zaragoza's Health Area III. PARTICIPANTS: 60 RIs selected by means of stratified random sampling. An open-reply questionnaire administered in writing on an individual basis during the second term of 1991. RESULTS: 28% of RIs (17 RIs) used the figures 140/90 mmHg to diagnosis AHT. 70% (42 RIs) made three measurements before making a diagnosis. 13% (8 RIs) took therapeutic measures when systolic pressure (SP) was above 140 mmHg and 30% (18 RIs) when the figures were above 160 mmHg. Diastolic pressure (DP) above 90 mmHg was a signal that treatment was needed for 43% (26 RIs); and figures above 95 mmHg for 31% (19 RIs). There were no differences for the doctor's age, gender, specialty, year of graduation or year of residency. CONCLUSIONS: The RIs used figures recommended by bodies such as the WHO or the Spanish Society for the Fight against AHT, to diagnose AHT. They made the diagnosis after three measurements. They started treatment, which is usually hygiene-dietetic measures to begin with, according to the DP.
Asunto(s)
Hipertensión/diagnóstico , Hipertensión/terapia , Internado y Residencia , Pautas de la Práctica en Medicina , Humanos , España , Encuestas y CuestionariosAsunto(s)
Neumonía/diagnóstico por imagen , Humanos , Masculino , Persona de Mediana Edad , RadiografíaRESUMEN
A case of hemispheric medulloblastoma of cerebellum in a 22 male patient is presented. The patient complained of headache and an intracranial hypertension syndrome progressively appeared. Diagnosis was established by CT scan. Treatment consisted of radical surgery associated to radiotherapy and chemotherapy. Present survival with this treatment is 4 years being the patient asymptomatic and without signs of relapse.
Asunto(s)
Neoplasias Cerebelosas/diagnóstico , Meduloblastoma/diagnóstico , Adulto , Neoplasias Cerebelosas/terapia , Terapia Combinada , Humanos , Masculino , Meduloblastoma/terapia , Tomografía Computarizada por Rayos XRESUMEN
A case of primary lymphoma of the central nervous system treated successfully with radiotherapy and systemic and intrathecal chemotherapy is described. The efficiency of the combination of radiotherapy with chemotherapy in the treatment of primary lymphoma of the central nervous system is discussed.
Asunto(s)
Neoplasias Encefálicas/tratamiento farmacológico , Neoplasias Encefálicas/radioterapia , Linfoma de Células B/tratamiento farmacológico , Linfoma de Células B/radioterapia , Terapia Combinada , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Primary lymphoma of the central nervous system (PL-CNS) is a tumor the incidence of which has increased in the last ten years and is frequently associated to immunosuppressed states. It is a non-Hodgkin lymphoma, usually diffuse and of type B. The clinical presentation form is nonspecific and for its diagnosis CT scan data are usefull although it is necessary to confirm this diagnosis with a biopsy. Treatment consists on holocranial radiotherapy associated to chemotherapy. Prognosis is obscure since local relapses are very frequent although its extension to other sites outside the CNS is rare.