Asunto(s)
Eritema Nudoso/epidemiología , Lepra Lepromatosa/epidemiología , Enfermedad Aguda , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Enfermedad Crónica , Femenino , Humanos , Lepra Dimorfa/epidemiología , Masculino , México/epidemiología , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Riesgo , Adulto JovenRESUMEN
The aim of this study is to present the analysis of the leading causes of mortality found in all the cases of maternal death at the Hospital de Ginecobstetricia (HGO) and Hospital de Especialidades (HE) del Centro Médico Nacional de Occidente (CMNO), during a period of 12 years, to achieve a winder view and to find a solution to reduce maternal mortality (MM). We reviewed files and reports of the maternal mortality committee of 151 women who were hospitalized and died at the HGO and HE del CMNO in Gudalajara, Jalismo, México, between January first, 1985 and December 31, 1996. During this period the maternal death ratio was 64 per 100,000 live births. The main cause of maternal death was toxemia 25%, follow by hemorrhage 23%, pulmonary thromboembolism 16%, infection 13%, and anesthetic complications 6%. 73% were foreseen deaths and 23% were unforeseen deaths. At the patients arrival to the hospital 37% were avoidable deaths. 66% were direct obstetric deaths and 34% were avoidable deaths. 66% were direct obstetric deaths and 34% were indirects. In 50% of the cases the end of pregnancy was done by cesarean section. The professional responsibility existed in the 72% and the hospitalary in the 23%. We made an analysis related factors and we propose strategies to diminish the maternal mortality.
Asunto(s)
Mortalidad Materna , Servicio de Ginecología y Obstetricia en Hospital , Complicaciones del Embarazo/epidemiología , Femenino , Humanos , Mortalidad Infantil , Recién Nacido , México/epidemiología , Embarazo , Complicaciones del Embarazo/mortalidad , Estudios RetrospectivosRESUMEN
After six years experience in the anatomopathological study and having checked 33.452 histological cases 772 corresponded to colon tumoral pathology. It was then decided to proceed with the epidemiological analysis of the polyps, it's anatomical distribution according to sex and age, it's histolopathological characteristics and the possible relationship with malignant transformation. We found a clear predominance mainly of adenomatosic neoplasic polyps, followed by hyperplasic polyps. 65% of the patients were male and more than half of the cases were between the ages of 50 and 70. Coincitentally, 86% of the atypical polyps were found within this age group.
Asunto(s)
Adenoma Velloso/epidemiología , Pólipos Adenomatosos/epidemiología , Pólipos del Colon/epidemiología , Adenoma Velloso/patología , Pólipos Adenomatosos/patología , Adolescente , Adulto , Distribución por Edad , Anciano , Anciano de 80 o más Años , Niño , Preescolar , Pólipos del Colon/patología , Femenino , Humanos , Hiperplasia , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Neoplasias del Recto/epidemiología , Neoplasias del Recto/patología , Distribución por Sexo , Neoplasias del Colon Sigmoide/epidemiología , Neoplasias del Colon Sigmoide/patología , Venezuela/epidemiologíaRESUMEN
During a period of six years, 33.452 histopathological studies were reviewed among which were found 285 cases with malignant neoplasm of the colon. 69% of the patients were between fifty and sixty years of age. The diagnosis of colonic adenocarcinoma was positive in 90.17% of the cases. 58.9% of the tumors were localized in the rectum and sigmoid. The remaining 41.06% of the tumors were not subject to rectosigmoidoscopy. The epidemiological analysis was made. Most of the patients were found with locally advanced cancer with a predominance of poor differentiated tumours, which represents a complex challenge to the surgeon.
Asunto(s)
Adenocarcinoma/patología , Neoplasias del Colon/patología , Adenocarcinoma/epidemiología , Adolescente , Adulto , Distribución por Edad , Anciano , Niño , Preescolar , Neoplasias del Colon/epidemiología , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Distribución por Sexo , Venezuela/epidemiologíaRESUMEN
The adenosquamous carcinoma of colon is an uncommon neoplasia, it only represents 0.1% of all carcinomas of colon. We report two new cases, that are added to the 39 reported in the medical literature. The pathogenesis and the biologic behavior of this variety are revised.